Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09518 | Date 30/06/2025 |
| Token No | SM/25-26/4161 30/06/2025 | Serial | 072 |
| Patient Name | Mrs. CHAINA BISWAS | Contact No | 9163000345 |
| Address | 2/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||