Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00137 | Date 16/09/2019 |
| Token No | SM/22-23/19837 14/03/2024 | Serial | 029 |
| Patient Name | Mrs. GOURI DAS | Contact No | 9674251396 |
| Address | 5 DR B R AMBEDKAR LANE,SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||