Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07583 | Date 05/08/2024 |
| Token No | SM/25-26/443 09/04/2025 | Serial | 028 |
| Patient Name | Mrs. KABITA SHAW | Contact No | 9748660707 |
| Address | B/74/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||