Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09217 | Date 05/05/2025 |
| Token No | SM/25-26/1696 07/05/2025 | Serial | 072 |
| Patient Name | Mrs. TUMPA CHATTERJEE | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||