Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08513 | Date 07/01/2025 |
| Token No | SM/25-26/11251 29/11/2025 | Serial | 091 |
| Patient Name | Mrs. RABAKA BIBI LASKAR | Contact No | 8250979320 |
| Address | A/58/Y TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||