Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10257 | Date 01/12/2025 |
| Token No | SM/25-26/11319 01/12/2025 | Serial | 047 |
| Patient Name | Miss ANKITA DEY | Contact No | 8100463540 |
| Address | D/145/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||