Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10568 | Date 25/02/2026 |
| Token No | SM/25-26/15451 02/03/2026 | Serial | 027 |
| Patient Name | Mr. SHADAB QURASHI | Contact No | 9007785825 |
| Address | 88/E MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 28 Years,1 Months,29 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/86 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||