Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04401 | Date 30/06/2023 |
| Token No | SM/25-26/15475 02/03/2026 | Serial | 051 |
| Patient Name | Mrs. SHILU CHAKRABORTY | Contact No | 9088430844 |
| Address | 47 SERAMPORE COLONY SERAMPORE M 712203 | Age | 53 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 47 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||