Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08844 | Date 06/03/2025 |
| Token No | SM/24-25/36519 06/03/2025 | Serial | 125 |
| Patient Name | Mrs. MOUSUMI ADHIKARI | Contact No | 8697894563 |
| Address | 5 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||