Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08887 | Date 12/03/2025 |
| Token No | SM/25-26/3947 25/06/2025 | Serial | 015 |
| Patient Name | Mrs. MAYA DAS | Contact No | 8273879103 |
| Address | 123/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||