Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04234 | Date 27/05/2023 |
| Token No | SM/24-25/34454 21/01/2025 | Serial | 028 |
| Patient Name | Mrs. HUSNARA BIBI | Contact No | 8100846752 |
| Address | 36 MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||