Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02356 | Date 01/08/2022 |
| Token No | SM/24-25/36589 07/03/2025 | Serial | 050 |
| Patient Name | Mrs. RINA BIBI | Contact No | 8100364168 |
| Address | 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||