Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01098 | Date 28/02/2020 |
| Token No | SM/25-26/12339 23/12/2025 | Serial | 044 |
| Patient Name | Mrs. PIYALI ROY | Contact No | 8777645089 |
| Address | 72/A/4/C MALLICKPARA LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||