Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10269 | Date 06/12/2025 |
| Token No | SM/25-26/11535 06/12/2025 | Serial | 033 |
| Patient Name | Mrs. SUVADRA DAS | Contact No | 8617537577 |
| Address | 56 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||