Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09166 | Date 23/04/2025 |
| Token No | SM/25-26/1099 23/04/2025 | Serial | 070 |
| Patient Name | Miss SUNITA BANIK | Contact No | 9051741515 |
| Address | 107X TARAPUKUR GOVT QUARTE SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||