Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09980 | Date 19/09/2025 |
| Token No | SM/25-26/8690 03/10/2025 | Serial | 013 |
| Patient Name | Mrs. PUTUL DEY | Contact No | 9143755891 |
| Address | 4/A/2/B TARAPUKUR COLONY SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||