Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06357 | Date 26/02/2024 |
| Token No | SM/25-26/9674 30/10/2025 | Serial | 031 |
| Patient Name | Mrs. RUBINA KHATUN | Contact No | 8013856201 |
| Address | 83 MALLICKPARA LANE SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||