Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01075 | Date 26/02/2020 |
| Token No | SM/25-26/8803 08/10/2025 | Serial | 055 |
| Patient Name | Mrs. ASIMA PAL | Contact No | 9123013641 |
| Address | 2/C TARAPUKUR LANE SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||