Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06259 | Date 10/02/2024 |
| Token No | SM/25-26/3470 13/06/2025 | Serial | 023 |
| Patient Name | Mrs. SRUTI BAG | Contact No | 846945390 |
| Address | 30J/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||