Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00160 | Date 16/09/2019 |
| Token No | SM/24-25/20504 03/04/2024 | Serial | 056 |
| Patient Name | Mrs. ANJUNARA BIBI | Contact No | 6289646310 |
| Address | 23/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||