Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08930 | Date 21/03/2025 |
| Token No | SM/24-25/37235 21/03/2025 | Serial | 026 |
| Patient Name | Mrs. KOYALI ROY | Contact No | 7044622450 |
| Address | D/170/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||