Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03099 | Date 09/11/2022 |
| Token No | SM/25-26/15485 02/03/2026 | Serial | 061 |
| Patient Name | Mrs. MUJAINARA BIBI | Contact No | 9836672335 |
| Address | 89/C MALLICKPARA LANE SERAMPORE 712203 | Age | 38 Years,2 Months,30 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 125/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||