Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01196 | Date 16/03/2020 |
| Token No | SM/22-23/16016 01/12/2023 | Serial | 016 |
| Patient Name | Mrs. NITU ROY | Contact No | 6291714149 |
| Address | 5/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||