Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06301 | Date 19/02/2024 |
| Token No | SM/22-23/18751 19/02/2024 | Serial | 029 |
| Patient Name | Mrs. TUMPA SOM | Contact No | 7059526728 |
| Address | 102/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||