Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03051 | Date 04/11/2022 |
| Token No | SM/25-26/10798 22/11/2025 | Serial | 013 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 6291351432 |
| Address | 88/B MIAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||