Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08627 | Date 30/01/2025 |
| Token No | SM/24-25/34880 30/01/2025 | Serial | 021 |
| Patient Name | Mrs. UMA SAHA HORE | Contact No | 7980766290 |
| Address | 59 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||