Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09187 | Date 28/04/2025 |
| Token No | SM/25-26/1309 28/04/2025 | Serial | 053 |
| Patient Name | Mrs. PAPIYA BHOWMICK | Contact No | 8100404612 |
| Address | 8/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||