Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01844 | Date 08/06/2022 |
| Token No | SM/25-26/2696 28/05/2025 | Serial | 043 |
| Patient Name | Mrs. KATYNI NANDI | Contact No | 9933705704 |
| Address | C/121/Y C BLOCK TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||