Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06116 | Date 29/01/2024 |
| Token No | SM/22-23/18091 02/02/2024 | Serial | 035 |
| Patient Name | Mrs. SHYAMALI MOITRA | Contact No | 7439099926 |
| Address | 30/31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||