Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07027 | Date 18/06/2024 |
| Token No | SM/25-26/3508 14/06/2025 | Serial | 011 |
| Patient Name | Mrs. NEHA BHAGAT | Contact No | |
| Address | 30/14 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||