Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07005 | Date 14/06/2024 |
| Token No | SM/25-26/10730 20/11/2025 | Serial | 043 |
| Patient Name | Mrs. KANAK PAL | Contact No | 9330683024 |
| Address | 132/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||