Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05434 | Date 16/10/2023 |
| Token No | SM/24-25/20698 13/04/2024 | Serial | 017 |
| Patient Name | Mrs. JAMILA BIBI | Contact No | 8697112420 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||