Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08267 | Date 23/11/2024 |
| Token No | SM/25-26/10325 12/11/2025 | Serial | 033 |
| Patient Name | Mrs. PAYEL CHATTERJEE | Contact No | 8582965242 |
| Address | 30/72 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 80/60 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||