Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02205 | Date 13/07/2022 |
| Token No | SM/25-26/12344 23/12/2025 | Serial | 049 |
| Patient Name | Mrs. NAJIMA BIBI | Contact No | 7449675861 |
| Address | 87/D MALLICKPARA LANE SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||