Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09074 | Date 09/04/2025 |
| Token No | SM/25-26/441 09/04/2025 | Serial | 026 |
| Patient Name | Mrs. SIMA GHOSAL | Contact No | 9836354382 |
| Address | 79X TARAPUKUR GOVT QUATERS SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||