Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05044 | Date 04/09/2023 |
| Token No | SM/24-25/27456 31/08/2024 | Serial | 044 |
| Patient Name | Mrs. JARINA BIBI | Contact No | 9477025702 |
| Address | 87/D MALLICKPARA LANE SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||