Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01769 | Date 30/05/2022 |
| Token No | SM/25-26/8540 25/09/2025 | Serial | 045 |
| Patient Name | Mrs. MAYA BASAK | Contact No | 9339989528 |
| Address | 1 NO RAJYADHARPUR GOVT QUARTER SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 180/78 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||