Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06647 | Date 27/04/2024 |
| Token No | SM/25-26/3438 12/06/2025 | Serial | 056 |
| Patient Name | Mrs. BONI GOSWAMI | Contact No | 8768545738 |
| Address | 135/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||