Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08530 | Date 11/01/2025 |
| Token No | SM/24-25/34008 11/01/2025 | Serial | 004 |
| Patient Name | Mrs. MAMTA DEVI | Contact No | 8482001692 |
| Address | 78/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||