Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05563 | Date 02/11/2023 |
| Token No | SM/25-26/222 04/04/2025 | Serial | 014 |
| Patient Name | Mrs. RIYA KHATUN | Contact No | 6282320875 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 102/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||