Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08294 | Date 26/11/2024 |
| Token No | SM/25-26/22668 27/10/2026 | Serial | 004 |
| Patient Name | Mrs. RITA PRASAD | Contact No | 7044758511 |
| Address | 47/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 41 Years,4 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 139/95 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||