Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07109 | Date 24/06/2024 |
| Token No | SM/25-26/4053 26/06/2025 | Serial | 073 |
| Patient Name | Mrs. BULU CHAKRABORTY | Contact No | 9831991256 |
| Address | 79/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||