Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01962 | Date 21/06/2022 |
| Token No | SM/25-26/22692 28/10/2026 | Serial | 009 |
| Patient Name | Mrs. NAIMA BIBI | Contact No | 7059525919 |
| Address | 26/A MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 81 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/64 mmHg | Weight | 50 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||