Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10141 | Date 05/11/2025 |
| Token No | SM/25-26/9980 05/11/2025 | Serial | 037 |
| Patient Name | Baby SAMIRA TASNIM | Contact No | 8013856201 |
| Address | 83 MALLICKPARA LANE SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||