Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08335 | Date 02/12/2024 |
| Token No | SM/25-26/5700 02/08/2025 | Serial | 014 |
| Patient Name | Mrs. URMILA GHARAI | Contact No | 9062254166 |
| Address | 174/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||