Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08339 | Date 03/12/2024 |
| Token No | SM/24-25/32588 10/12/2024 | Serial | 018 |
| Patient Name | Mrs. ASMA BIBI | Contact No | 9831787173 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||