Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04970 | Date 28/08/2023 |
| Token No | SM/25-26/4663 14/07/2025 | Serial | 023 |
| Patient Name | Mrs. SAGARIKA DUTTA | Contact No | 9748842157 |
| Address | A/9/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||