Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09801 | Date 25/08/2025 |
| Token No | SM/25-26/6785 25/08/2025 | Serial | 019 |
| Patient Name | Mrs. FAYRA KHATUN | Contact No | 8481985945 |
| Address | 9NO MALLICKPARA LANE SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||