Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05571 | Date 03/11/2023 |
| Token No | SM/25-26/11969 15/12/2025 | Serial | 012 |
| Patient Name | Mrs. SALIMA BIBI | Contact No | 9163876602 |
| Address | 33 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||