Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03079 | Date 07/11/2022 |
| Token No | SM/25-26/8120 18/09/2025 | Serial | 030 |
| Patient Name | Mrs. MABIYA KHATUN | Contact No | 7890721534 |
| Address | 88/C MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||