Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01446 | Date 17/04/2020 |
| Token No | SM/25-26/6951 27/08/2025 | Serial | 025 |
| Patient Name | Mrs. TANUSHRI DEBNATH | Contact No | 7980123238 |
| Address | 22/Y/21 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||