Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02916 | Date 17/10/2022 |
| Token No | SM/22-23/3533 17/10/2022 | Serial | 035 |
| Patient Name | Mrs. ANOWARA BIBI | Contact No | 8621904528 |
| Address | 31/C MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 44 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||