Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09715 | Date 08/08/2025 |
| Token No | SM/25-26/10223 10/11/2025 | Serial | 037 |
| Patient Name | Mrs. TAPASI ADHIKARI | Contact No | 8910794248 |
| Address | 5 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 138/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||