Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07175 | Date 27/06/2024 |
| Token No | SM/25-26/5006 19/07/2025 | Serial | 037 |
| Patient Name | Mrs. SUSMITA SARKAR | Contact No | 8334827940 |
| Address | 208 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||