Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07661 | Date 13/08/2024 |
| Token No | SM/25-26/11490 05/12/2025 | Serial | 020 |
| Patient Name | Miss BAKHYA KAIRI | Contact No | 9163530129 |
| Address | D/148/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||