Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04912 | Date 22/08/2023 |
| Token No | SM/25-26/11498 05/12/2025 | Serial | 028 |
| Patient Name | Mrs. KALPANA MAITY | Contact No | 8481016919 |
| Address | D/137/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||