Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08536 | Date 11/01/2025 |
| Token No | SM/24-25/34055 11/01/2025 | Serial | 051 |
| Patient Name | Mrs. GEETA GHOSHAL | Contact No | 8420342755 |
| Address | 140/X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||