Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08923 | Date 20/03/2025 |
| Token No | SM/25-26/1459 02/05/2025 | Serial | 048 |
| Patient Name | Mrs. LIPI BHATTACHARJEE | Contact No | 8582883093 |
| Address | 211 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||