Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02380 | Date 03/08/2022 |
| Token No | SM/22-23/19929 18/03/2024 | Serial | 026 |
| Patient Name | Mrs. RINA DAS | Contact No | 9330751038 |
| Address | C/133/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||