Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05600 | Date 06/11/2023 |
| Token No | SM/25-26/10427 15/11/2025 | Serial | 006 |
| Patient Name | Mrs. TAPATI DAS | Contact No | 8583821510 |
| Address | 170 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||