Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01763 | Date 30/05/2022 |
| Token No | SM/22-23/7341 06/03/2023 | Serial | 041 |
| Patient Name | Mrs. FIROJA BIBI | Contact No | 8420924687 |
| Address | 86 MALLICKPARA LANE SERAMPORE HOOGHLY 712203 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||