Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06904 | Date 30/05/2024 |
| Token No | SM/25-26/8611 26/09/2025 | Serial | 016 |
| Patient Name | Mrs. TANIA SAHA | Contact No | 8478039848 |
| Address | 108 RAJYADHARPUR 2 NO COLONY SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||