Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02053 | Date 27/06/2022 |
| Token No | SM/25-26/11992 15/12/2025 | Serial | 035 |
| Patient Name | Mrs. MANJU DAS | Contact No | 9123683430 |
| Address | 239 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 71220349 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 106/64 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||