Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09256 | Date 08/05/2025 |
| Token No | SM/25-26/1764 08/05/2025 | Serial | 066 |
| Patient Name | Baby UMAIMA NOOR QURASHI | Contact No | 9163244120 |
| Address | 88/E MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||