Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06138 | Date 30/01/2024 |
| Token No | SM/25-26/4965 18/07/2025 | Serial | 046 |
| Patient Name | Mrs. SUMITA SAHA | Contact No | 7044693201 |
| Address | 30/48 TARAPUKUR COLONY SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||