Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10276 | Date 06/12/2025 |
| Token No | SM/25-26/11581 06/12/2025 | Serial | 079 |
| Patient Name | Mrs. AFSANA KHATUN | Contact No | 7003648390 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||