Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09444 | Date 12/06/2025 |
| Token No | SM/25-26/3439 12/06/2025 | Serial | 057 |
| Patient Name | Mrs. MITHU MAHARANA | Contact No | 8335963954 |
| Address | D/153/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||