Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01764 | Date 30/05/2022 |
| Token No | SM/22-23/687 21/06/2022 | Serial | 035 |
| Patient Name | Mrs. ROHIMA BIBI | Contact No | 6290786342 |
| Address | 9 MALLICKPARA LANE SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||