Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03024 | Date 02/11/2022 |
| Token No | SM/22-23/4191 09/11/2022 | Serial | 026 |
| Patient Name | Mrs. TANUJA BIBI | Contact No | 9051146292 |
| Address | 91/D MALLICKPARA LANE SERAMPORE 712203 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||