Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10395 | Date 22/01/2026 |
| Token No | SM/25-26/22661 26/10/2026 | Serial | 051 |
| Patient Name | Mrs. DIPALI ROY | Contact No | 8479019594 |
| Address | 230/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 75 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||