Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09933 | Date 10/09/2025 |
| Token No | SM/25-26/7777 10/09/2025 | Serial | 096 |
| Patient Name | Mrs. ARATI CHAKRABORTY | Contact No | 8777802172 |
| Address | 207 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||