Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06330 | Date 22/02/2024 |
| Token No | SM/25-26/20695 29/08/2026 | Serial | 004 |
| Patient Name | Mrs. MAHAMAYA HALDER | Contact No | 8336005870 |
| Address | 30/39 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 76 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 40 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||