Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04011 | Date 06/04/2023 |
| Token No | SM/25-26/11824 11/12/2025 | Serial | 051 |
| Patient Name | Mrs. MAYARANI SAHA | Contact No | 9674474336 |
| Address | 30/21 TARAPUKUR COLONY SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||