Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09817 | Date 27/08/2025 |
| Token No | SM/25-26/15468 02/03/2026 | Serial | 044 |
| Patient Name | Mrs. MAHAMAYA BASAK | Contact No | 9339982528 |
| Address | 97 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 53 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||