Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06437 | Date 16/03/2024 |
| Token No | SM/22-23/19888 16/03/2024 | Serial | 007 |
| Patient Name | Mrs. FARU BIBI | Contact No | |
| Address | MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||