Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03248 | Date 25/11/2022 |
| Token No | SM/25-26/11198 29/11/2025 | Serial | 038 |
| Patient Name | Mrs. SOVARANI DEY | Contact No | 9432228047 |
| Address | 128/X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||