Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08920 | Date 20/03/2025 |
| Token No | SM/24-25/37166 20/03/2025 | Serial | 049 |
| Patient Name | Mrs. MIRA CHAKRABORTY | Contact No | 9088430844 |
| Address | 47 SERAMPORE COLONY SERAMPORE 712203 | Age | 81 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||