Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07029 | Date 18/06/2024 |
| Token No | SM/25-26/3510 14/06/2025 | Serial | 013 |
| Patient Name | Mrs. PUJA BAG | Contact No | |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||