Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05918 | Date 21/12/2023 |
| Token No | SM/22-23/16765 21/12/2023 | Serial | 018 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | |
| Address | 2/E MALLICKPARA CHELE KHANA ROAD SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||