Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00935 | Date 12/02/2020 |
| Token No | SM/25-26/4306 03/07/2025 | Serial | 004 |
| Patient Name | Mrs. ARATI GOSWAMI | Contact No | 7044355013 |
| Address | 13 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||