Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07961 | Date 28/09/2024 |
| Token No | SM/25-26/6212 11/08/2025 | Serial | 077 |
| Patient Name | Mrs. FATEMA BIBI | Contact No | 9831668920 |
| Address | 88/C MALLICKPARA LANE SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||