Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06443 | Date 18/03/2024 |
| Token No | SM/22-23/19947 18/03/2024 | Serial | 044 |
| Patient Name | Mrs. SUSMITA DUTTA | Contact No | 3326221726 |
| Address | 25/C TARAPUKUR QUARTER LANE MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||