Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05746 | Date 28/11/2023 |
| Token No | SM/25-26/8305 22/09/2025 | Serial | 012 |
| Patient Name | Mrs. SHRABANI ROY | Contact No | 9804935828 |
| Address | 2/240 MAHESH COLONY SERAMPORE 712202 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||