Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07752 | Date 27/08/2024 |
| Token No | SM/24-25/27239 27/08/2024 | Serial | 028 |
| Patient Name | Mrs. NAJIMA BIBI | Contact No | 7439098537 |
| Address | 85 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||