Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09570 | Date 15/07/2025 |
| Token No | SM/25-26/8051 15/09/2025 | Serial | 067 |
| Patient Name | Mrs. SUSMITA SINGH DEBNATH | Contact No | 8017329771 |
| Address | 1/11 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||