Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07420 | Date 10/07/2024 |
| Token No | SM/25-26/9210 16/10/2025 | Serial | 010 |
| Patient Name | Mrs. MILI KHATUN | Contact No | 9477032051 |
| Address | 1 CHELE KHANA ROAD MALLIKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 85/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||