Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08508 | Date 06/01/2025 |
| Token No | SM/24-25/33744 06/01/2025 | Serial | 024 |
| Patient Name | Mrs. DURGA SAHA | Contact No | 8420444874 |
| Address | 59 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||