Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06351 | Date 24/02/2024 |
| Token No | SM/22-23/18994 24/02/2024 | Serial | 004 |
| Patient Name | Mrs. NUPUR ROY | Contact No | 8017531758 |
| Address | 123/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||