Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03255 | Date 25/11/2022 |
| Token No | SM/22-23/4740 25/11/2022 | Serial | 027 |
| Patient Name | Mrs. RADHIKA BIBI | Contact No | 9330509282 |
| Address | 31/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||