Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02663 | Date 09/09/2022 |
| Token No | SM/25-26/6838 25/08/2025 | Serial | 072 |
| Patient Name | Mrs. JHARNA GOSWAMI | Contact No | 9432776253 |
| Address | C/135/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||