Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07272 | Date 01/07/2024 |
| Token No | SM/25-26/6242 12/08/2025 | Serial | 018 |
| Patient Name | Mrs. SILPI CHAKRABORTY | Contact No | 9681596074 |
| Address | 30/75 TARAPUKUR LANE MALLICKPARA SERAMPORE 7122203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||