Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00118 | Date 13/09/2019 |
| Token No | SM/22-23/16036 01/12/2023 | Serial | 036 |
| Patient Name | Mrs. RINKU BHATTACHARYA | Contact No | 6289094208 |
| Address | 30F TARAPUKUR LANE,SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||