Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06131 | Date 30/01/2024 |
| Token No | SM/22-23/19994 19/03/2024 | Serial | 030 |
| Patient Name | Mrs. MALA ROY | Contact No | 8240933165 |
| Address | 30/23 TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||