Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09486 | Date 20/06/2025 |
| Token No | SM/25-26/3788 20/06/2025 | Serial | 036 |
| Patient Name | Mrs. KALYANI DASGUPTA | Contact No | 7439498628 |
| Address | D/154/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||