Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01559 | Date 04/05/2020 |
| Token No | SM/25-26/12271 22/12/2025 | Serial | 031 |
| Patient Name | Miss RISHA SHARMA | Contact No | 6290761489 |
| Address | 6/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||