Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09751 | Date 13/08/2025 |
| Token No | SM/25-26/6330 13/08/2025 | Serial | 067 |
| Patient Name | Mrs. SHAMIM ARA BEGAM | Contact No | 7003896693 |
| Address | 37/2 MALLICKPARA LANE SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||