Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05866 | Date 14/12/2023 |
| Token No | SM/25-26/6539 18/08/2025 | Serial | 077 |
| Patient Name | Mrs. MUSKAN KHATUN | Contact No | 6260371621 |
| Address | 91/E MALLIKPARA LANE SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||