Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05594 | Date 06/11/2023 |
| Token No | SM/22-23/15366 09/11/2023 | Serial | 025 |
| Patient Name | Mrs. AJMIRA BIBI | Contact No | 8961997098 |
| Address | 31/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||