Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09476 | Date 18/06/2025 |
| Token No | SM/25-26/3703 18/06/2025 | Serial | 052 |
| Patient Name | Mrs. SALMA BIBI | Contact No | 6394684265 |
| Address | 93/C MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||