Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09517 | Date 30/06/2025 |
| Token No | SM/25-26/4160 30/06/2025 | Serial | 071 |
| Patient Name | Mrs. RINKU SAHA | Contact No | 9831326038 |
| Address | 2/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||