Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09241 | Date 07/05/2025 |
| Token No | SM/25-26/1719 08/05/2025 | Serial | 021 |
| Patient Name | Mrs. AJMIRA BIBI | Contact No | 8697959701 |
| Address | 59/ MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||