Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07287 | Date 01/07/2024 |
| Token No | SM/24-25/24138 01/07/2024 | Serial | 047 |
| Patient Name | Mrs. HAJIRA BIBI | Contact No | 9748610594 |
| Address | 4NO CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||