Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04752 | Date 08/08/2023 |
| Token No | SM/25-26/7395 03/09/2025 | Serial | 051 |
| Patient Name | Mrs. ANJALI BHOWMICK | Contact No | 8910732436 |
| Address | 17/B 2 NO SERAMPORE COLONY 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||