Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03854 | Date 02/03/2023 |
| Token No | SM/25-26/10953 24/11/2025 | Serial | 054 |
| Patient Name | Mrs. BABLI BISWAS | Contact No | 9163532870 |
| Address | 136/X/D TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/77 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||