Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01081 | Date 26/02/2020 |
| Token No | SM/22-23/4896 30/11/2022 | Serial | 031 |
| Patient Name | Mrs. JAHIDA BIBI | Contact No | 8478960079 |
| Address | 86/A MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||