Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07224 | Date 28/06/2024 |
| Token No | SM/25-26/11458 04/12/2025 | Serial | 057 |
| Patient Name | Mrs. NIRUPAMA DEY | Contact No | 7278823526 |
| Address | 30/25 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||