Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07666 | Date 13/08/2024 |
| Token No | SM/25-26/8620 26/09/2025 | Serial | 025 |
| Patient Name | Mrs. KALYANI BANERJEE | Contact No | 9007866314 |
| Address | B/95/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||