Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09746 | Date 13/08/2025 |
| Token No | SM/25-26/6671 21/08/2025 | Serial | 037 |
| Patient Name | Mrs. BASANTI SANTRA | Contact No | 9088787655 |
| Address | C/133/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 135/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||