Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04736 | Date 07/08/2023 |
| Token No | SM/22-23/11458 07/08/2023 | Serial | 026 |
| Patient Name | Mrs. JYOTSNA BEGUM | Contact No | 7890081408 |
| Address | 13 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||