Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06663 | Date 30/04/2024 |
| Token No | SM/25-26/3468 13/06/2025 | Serial | 021 |
| Patient Name | Mrs. SUCHITRA NATH | Contact No | 7854882845 |
| Address | 210/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||