Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06300 | Date 19/02/2024 |
| Token No | SM/22-23/18749 19/02/2024 | Serial | 027 |
| Patient Name | Mrs. CHAMPA MAITRA | Contact No | 8584980917 |
| Address | 30/31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||