Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05368 | Date 09/10/2023 |
| Token No | SM/22-23/14520 17/10/2023 | Serial | 063 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 9681514411 |
| Address | 29/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||