Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05904 | Date 19/12/2023 |
| Token No | SM/24-25/36787 11/03/2025 | Serial | 016 |
| Patient Name | Mrs. NAJIMA BEGAM | Contact No | 9831871434 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||