Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08898 | Date 17/03/2025 |
| Token No | SM/24-25/36998 17/03/2025 | Serial | 041 |
| Patient Name | Mrs. KAIKASHA QURASHI | Contact No | 9163244120 |
| Address | 88/E MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||