Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00907 | Date 08/02/2020 |
| Token No | SM/22-23/19790 13/03/2024 | Serial | 045 |
| Patient Name | Mrs. RINA KHATUN | Contact No | 9681558933 |
| Address | 88/C MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||