Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09408 | Date 06/06/2025 |
| Token No | SM/25-26/3136 06/06/2025 | Serial | 009 |
| Patient Name | Mrs. DIPA KUMARI | Contact No | 6289073309 |
| Address | 9/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||