Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09623 | Date 23/07/2025 |
| Token No | SM/25-26/5215 23/07/2025 | Serial | 056 |
| Patient Name | Mrs. AYESHA MIR | Contact No | 7003123786 |
| Address | 14/1/B MALLICKPARA LANE SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||