Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03068 | Date 07/11/2022 |
| Token No | SM/25-26/20677 27/08/2026 | Serial | 042 |
| Patient Name | Mrs. ANOARA BIBI | Contact No | 8420963395 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 52 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||