Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04981 | Date 28/08/2023 |
| Token No | SM/24-25/36917 13/03/2025 | Serial | 020 |
| Patient Name | Mrs. DOLA NANDY | Contact No | 8481842521 |
| Address | 50/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||