Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09428 | Date 11/06/2025 |
| Token No | SM/25-26/3359 11/06/2025 | Serial | 076 |
| Patient Name | Mrs. RENUBALA DAS | Contact No | 9330585386 |
| Address | 1/21 RAJYADHARPUR GOVY COLONY MALLICKPARA SERAMPORE 712203 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||