Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06330 | Date 22/02/2024 |
| Token No | SM/22-23/20120 23/03/2024 | Serial | 010 |
| Patient Name | Mrs. MAHAMAYA HALDER | Contact No | 8336005870 |
| Address | 30/39 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||