Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05644 | Date 10/11/2023 |
| Token No | SM/24-25/35574 12/02/2025 | Serial | 006 |
| Patient Name | Miss SAHANAJ KHATOON | Contact No | 8100644320 |
| Address | 33 MIAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||