Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02584 | Date 31/08/2022 |
| Token No | SM/25-26/6070 08/08/2025 | Serial | 024 |
| Patient Name | Mrs. ANITA SINGH | Contact No | 6289096395 |
| Address | 162/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||