Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01082 | Date 26/02/2020 |
| Token No | SM/25-26/7724 10/09/2025 | Serial | 043 |
| Patient Name | Mrs. MARJINA BIBI | Contact No | 7890376801 |
| Address | 89/A MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||