Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03410 | Date 15/12/2022 |
| Token No | SM/22-23/5332 15/12/2022 | Serial | 022 |
| Patient Name | Mrs. TAHERA BIBI | Contact No | 7278071331 |
| Address | 19 NO MALLICKPARA SERAMPORE 712203 | Age | 49 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||