Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08574 | Date 17/01/2025 |
| Token No | SM/24-25/34296 17/01/2025 | Serial | 054 |
| Patient Name | Mrs. SAMPA SANTRA | Contact No | 7439080349 |
| Address | 12/C TARAPUKUR COLONY SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||