Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09138 | Date 21/04/2025 |
| Token No | SM/25-26/956 21/04/2025 | Serial | 051 |
| Patient Name | Mrs. RIYA DAS DHAR | Contact No | 9330688715 |
| Address | 30/38 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||