Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07506 | Date 23/07/2024 |
| Token No | SM/24-25/25383 23/07/2024 | Serial | 018 |
| Patient Name | Mrs. SOMA BIBI | Contact No | 8481997282 |
| Address | 11 TARA PUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||