Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05177 | Date 19/09/2023 |
| Token No | SM/22-23/13446 23/09/2023 | Serial | 021 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 7449830159 |
| Address | 27 MALLICKPARA CHELE KHANA ROAD SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||