Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01347 | Date 04/04/2020 |
| Token No | SM/25-26/11922 13/12/2025 | Serial | 067 |
| Patient Name | Mrs. MANIKA DAS | Contact No | 9339621202 |
| Address | B/110/X TARAPUKUR GOVT QUARTER 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||