Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08682 | Date 06/02/2025 |
| Token No | SM/24-25/35271 06/02/2025 | Serial | 080 |
| Patient Name | Mrs. SUSMITA KUNDU | Contact No | 9073393302 |
| Address | B/73/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||