Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08537 | Date 11/01/2025 |
| Token No | SM/24-25/35564 11/02/2025 | Serial | 043 |
| Patient Name | Mrs. SUSMITA DAS | Contact No | 7003383184 |
| Address | 208/A 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||