Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07909 | Date 18/09/2024 |
| Token No | SM/24-25/28361 18/09/2024 | Serial | 063 |
| Patient Name | Mrs. RESHMA BIBI | Contact No | 9163763601 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||