Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08666 | Date 05/02/2025 |
| Token No | SM/25-26/4117 30/06/2025 | Serial | 028 |
| Patient Name | Mrs. PAMPA DEY | Contact No | 9331652527 |
| Address | D/145/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||