Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08959 | Date 24/03/2025 |
| Token No | SM/25-26/2099 15/05/2025 | Serial | 062 |
| Patient Name | Mrs. KALYANI ROY | Contact No | 7449622634 |
| Address | 61 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||