Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09413 | Date 09/06/2025 |
| Token No | SM/25-26/3209 09/06/2025 | Serial | 034 |
| Patient Name | Mrs. NABANITA DHAM | Contact No | 6289787699 |
| Address | D/149/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||