Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06640 | Date 26/04/2024 |
| Token No | SM/25-26/11889 13/12/2025 | Serial | 034 |
| Patient Name | Mrs. APARAJITA ROY KOIRI | Contact No | 9836289847 |
| Address | 157/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||