Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08319 | Date 29/11/2024 |
| Token No | SM/24-25/32015 29/11/2024 | Serial | 029 |
| Patient Name | Mrs. NURJAHAN BIBI | Contact No | 9330526611 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||