Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03564 | Date 03/01/2023 |
| Token No | SM/25-26/22625 26/10/2026 | Serial | 015 |
| Patient Name | Mrs. SAKINA KHATUN | Contact No | 7450961592 |
| Address | 11 GOPINATH SAHA STREET SERAMPORE 712201 | Age | 23 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||