Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09869 | Date 02/09/2025 |
| Token No | SM/25-26/7313 02/09/2025 | Serial | 028 |
| Patient Name | Mrs. LILA DAS | Contact No | 9339009041 |
| Address | C/135/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||