Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07906 | Date 18/09/2024 |
| Token No | SM/24-25/33940 09/01/2025 | Serial | 031 |
| Patient Name | Mrs. MANDIRA BAG | Contact No | 8910120984 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||