Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02395 | Date 04/08/2022 |
| Token No | SM/25-26/11022 26/11/2025 | Serial | 016 |
| Patient Name | Mrs. MANSURA BIBI | Contact No | 8583853556 |
| Address | 88A MIYAJAN DORJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/50 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||