Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06438 | Date 16/03/2024 |
| Token No | SM/25-26/10099 07/11/2025 | Serial | 037 |
| Patient Name | Mrs. MINATI MAJUMDER | Contact No | 9903530981 |
| Address | 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||