Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02260 | Date 18/07/2022 |
| Token No | SM/22-23/7684 20/03/2023 | Serial | 021 |
| Patient Name | Mrs. JELEHER BIBI | Contact No | 7449346436 |
| Address | 29D/2 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 75 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||