Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06211 | Date 08/02/2024 |
| Token No | SM/24-25/33749 06/01/2025 | Serial | 029 |
| Patient Name | Miss PURBITA GHOSH | Contact No | 8910803105 |
| Address | 65/28 2NO RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||