Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09385 | Date 02/06/2025 |
| Token No | SM/25-26/3121 05/06/2025 | Serial | 079 |
| Patient Name | Mrs. SANWARI KHATUN | Contact No | 8777284648 |
| Address | 9NO MALLICKPARA LANE SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||