Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04237 | Date 27/05/2023 |
| Token No | SM/22-23/9130 27/05/2023 | Serial | 017 |
| Patient Name | Mrs. USNARA BIBI | Contact No | 8100846752 |
| Address | 26J MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||