Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05525 | Date 30/10/2023 |
| Token No | SM/22-23/19319 02/03/2024 | Serial | 014 |
| Patient Name | Mrs. JUTHIKA CHAKRABORTY | Contact No | 8902164905 |
| Address | C/119/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||