Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01907 | Date 13/06/2022 |
| Token No | SM/25-26/8796 08/10/2025 | Serial | 048 |
| Patient Name | Mrs. BANI ROY | Contact No | 9330855291 |
| Address | 58/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||