Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00110 | Date 13/09/2019 |
| Token No | SM/24-25/35034 01/02/2025 | Serial | 024 |
| Patient Name | Mrs. PRIASA DHAR | Contact No | 6290650098 |
| Address | 9/A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||