Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06123 | Date 29/01/2024 |
| Token No | SM/24-25/34995 31/01/2025 | Serial | 074 |
| Patient Name | Mrs. PUJA BAG | Contact No | 6290255311 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||