Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01081 | Date 26/02/2020 |
| Token No | SM/22-23/19993 19/03/2024 | Serial | 029 |
| Patient Name | Mrs. JAHIDA BIBI | Contact No | 8478960079 |
| Address | 86/A MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||