Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03324 | Date 05/12/2022 |
| Token No | SM/22-23/4995 05/12/2022 | Serial | 049 |
| Patient Name | Mrs. ASLIMA BIBI | Contact No | 8100050804 |
| Address | TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||