Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04129 | Date 02/05/2023 |
| Token No | SM/25-26/8793 08/10/2025 | Serial | 045 |
| Patient Name | Mrs. LAKSHMI BAG | Contact No | 8478816140 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||