Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06937 | Date 05/06/2024 |
| Token No | SM/25-26/9558 25/10/2025 | Serial | 024 |
| Patient Name | Mrs. SNEHA PARVEEN | Contact No | 8240983951 |
| Address | 94/A MIYAJAN DARJEE LANE MALLIKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||