Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04003 | Date 31/03/2023 |
| Token No | SM/24-25/35259 06/02/2025 | Serial | 068 |
| Patient Name | Mrs. SARIFA KHATUN | Contact No | 8240000521 |
| Address | 16 K M SHA STREET SERAMPORE 712201 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||