Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00183 | Date 17/09/2019 |
| Token No | SM/22-23/19824 14/03/2024 | Serial | 016 |
| Patient Name | Mrs. SUKHLA GHOSH | Contact No | 8697373062 |
| Address | 30/32 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||