Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07298 | Date 01/07/2024 |
| Token No | SM/25-26/12062 17/12/2025 | Serial | 009 |
| Patient Name | Mrs. NISHA CHOWDHURY | Contact No | 9304251561 |
| Address | 5/1/Z DINABANDHU CHATTERHEE LANE SERAMPORE 712202 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||