Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03526 | Date 29/12/2022 |
| Token No | SM/24-25/31816 26/11/2024 | Serial | 032 |
| Patient Name | Mrs. ANOWARA BIBI | Contact No | 7980047145 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||