Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08954 | Date 24/03/2025 |
| Token No | SM/25-26/2454 22/05/2025 | Serial | 060 |
| Patient Name | Mrs. SAKILA BEGUM | Contact No | 8582917229 |
| Address | 3/A CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||