Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06834 | Date 23/05/2024 |
| Token No | SM/25-26/1182 25/04/2025 | Serial | 015 |
| Patient Name | Mrs. POULAMI ROY | Contact No | 7439362700 |
| Address | 1 NO GOVT COLONY BELTING BAZAR SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||