Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05640 | Date 10/11/2023 |
| Token No | SM/24-25/35245 06/02/2025 | Serial | 054 |
| Patient Name | Mrs. RAKHI BAURI MAJUMDAR | Contact No | 6291881940 |
| Address | 2/10 SERAMPORE COLONY MALLICKPARA 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||