Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05900 | Date 19/12/2023 |
| Token No | SM/22-23/17887 29/01/2024 | Serial | 051 |
| Patient Name | Mrs. JAYA ROY | Contact No | 9330641142 |
| Address | 58/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||