Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03823 | Date 23/02/2023 |
| Token No | SM/22-23/15060 03/11/2023 | Serial | 019 |
| Patient Name | Mrs. MABIA BIBI | Contact No | 9051165628 |
| Address | 88 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||