Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09129 | Date 21/04/2025 |
| Token No | SM/25-26/10366 13/11/2025 | Serial | 035 |
| Patient Name | Mrs. SEKH SULTANA | Contact No | 9903257528 |
| Address | 36/O MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 149 cm |
| Diagnosis | |||