Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09405 | Date 05/06/2025 |
| Token No | SM/25-26/3075 05/06/2025 | Serial | 033 |
| Patient Name | Mrs. SUSHMA SINGH | Contact No | 9681492680 |
| Address | 145/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||