Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05436 | Date 16/10/2023 |
| Token No | SM/22-23/14422 16/10/2023 | Serial | 029 |
| Patient Name | Mrs. MOMENA BIBI | Contact No | |
| Address | 95A MALLICKPARA LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||