Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09328 | Date 21/05/2025 |
| Token No | SM/25-26/8237 19/09/2025 | Serial | 058 |
| Patient Name | Mrs. SHABINA KHATOON | Contact No | 9007896158 |
| Address | 37/2 MALLICKPARA LANE SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||