Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06387 | Date 07/03/2024 |
| Token No | SM/24-25/29051 04/10/2024 | Serial | 014 |
| Patient Name | Mrs. BADARUNANESA BIBI | Contact No | 8944911569 |
| Address | 88 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||