Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06513 | Date 02/04/2024 |
| Token No | SM/24-25/20422 02/04/2024 | Serial | 020 |
| Patient Name | Mrs. MINA PRAMANIK | Contact No | 9231552763 |
| Address | 11 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||