Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08449 | Date 24/12/2024 |
| Token No | SM/24-25/33994 10/01/2025 | Serial | 030 |
| Patient Name | Mrs. HASINA BEGUM | Contact No | 8276070593 |
| Address | 24/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 102/60 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||