Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08699 | Date 10/02/2025 |
| Token No | SM/24-25/35461 10/02/2025 | Serial | 032 |
| Patient Name | Baby SADIYA KHATUN | Contact No | 8961669236 |
| Address | 1 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||