Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05613 | Date 07/11/2023 |
| Token No | SM/22-23/15386 09/11/2023 | Serial | 045 |
| Patient Name | Mrs. MANUYARA BIBI | Contact No | 8981810780 |
| Address | 346/16/A/A KAZIPARA BAIDYABATI M 712222 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||