Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01513 | Date 29/04/2020 |
| Token No | SM/25-26/4633 12/07/2025 | Serial | 054 |
| Patient Name | Mrs. SUBHRA ROY | Contact No | 8240873542 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||