Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08227 | Date 19/11/2024 |
| Token No | SM/25-26/5947 06/08/2025 | Serial | 065 |
| Patient Name | Mrs. MANOYARA BIBI | Contact No | 8583026294 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||