Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03580 | Date 07/01/2023 |
| Token No | SM/25-26/3353 11/06/2025 | Serial | 070 |
| Patient Name | Mrs. TABASSUM BIBI | Contact No | 8420457138 |
| Address | 14/A MALLICKPARA LANE SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||