Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08525 | Date 10/01/2025 |
| Token No | SM/24-25/33984 10/01/2025 | Serial | 020 |
| Patient Name | Mrs. ROPAN BIBI | Contact No | 7044171630 |
| Address | 88/A MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||