Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09653 | Date 28/07/2025 |
| Token No | SM/25-26/5459 28/07/2025 | Serial | 054 |
| Patient Name | Mrs. TANUJA BEGAM | Contact No | 7596923419 |
| Address | 12 GOPINATH SAHA STREET SERAMPORE 712201 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||