Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08458 | Date 26/12/2024 |
| Token No | SM/25-26/10260 10/11/2025 | Serial | 074 |
| Patient Name | Mrs. REKHA DAS | Contact No | 9062534093 |
| Address | 194 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||