Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04260 | Date 01/06/2023 |
| Token No | SM/22-23/11953 17/08/2023 | Serial | 036 |
| Patient Name | Mrs. SAHANARA BIBI | Contact No | 9330747726 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||