Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06202 | Date 07/02/2024 |
| Token No | SM/24-25/22972 10/06/2024 | Serial | 044 |
| Patient Name | Mrs. RUHINA BIBI | Contact No | 7439349132 |
| Address | 23 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||