Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02260 | Date 18/07/2022 |
| Token No | SM/22-23/2863 20/09/2022 | Serial | 015 |
| Patient Name | Mrs. JELEHER BIBI | Contact No | 7449346436 |
| Address | 29D/2 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 75 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||