Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08591 | Date 21/01/2025 |
| Token No | SM/25-26/8533 25/09/2025 | Serial | 038 |
| Patient Name | Mrs. TULU DAS | Contact No | 7044744191 |
| Address | 223 G T ROAD MAHESH SERAMPORE 712202 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||