Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06287 | Date 15/02/2024 |
| Token No | SM/22-23/18642 15/02/2024 | Serial | 034 |
| Patient Name | Mrs. TAPASI DAS | Contact No | 6289183989 |
| Address | 41 S C CHATTERJEE SARANI MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||