Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06750 | Date 09/05/2024 |
| Token No | SM/24-25/21765 09/05/2024 | Serial | 089 |
| Patient Name | Mrs. LINA BIBI | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||