Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09945 | Date 12/09/2025 |
| Token No | SM/25-26/8048 15/09/2025 | Serial | 064 |
| Patient Name | Mrs. SHARMILA DAS | Contact No | 7278823526 |
| Address | 1 CHANDRAKUMAR BANERJEE LANE HAORA CORPORATION 711102 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||