Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05404 | Date 11/10/2023 |
| Token No | SM/25-26/11382 03/12/2025 | Serial | 014 |
| Patient Name | Mrs. SABINA BIBI | Contact No | 6290811373 |
| Address | 26 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/50 mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||