Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07766 | Date 29/08/2024 |
| Token No | SM/25-26/22651 26/10/2026 | Serial | 041 |
| Patient Name | Mrs. SUKTARA BIBI | Contact No | 9330429934 |
| Address | 4 NO CHELE KHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 35 Years,10 Months,22 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||