Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08918 | Date 20/03/2025 |
| Token No | SM/24-25/37154 20/03/2025 | Serial | 037 |
| Patient Name | Mrs. RIJIYA KHATUN | Contact No | 8017169952 |
| Address | 82 MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||