Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06541 | Date 04/04/2024 |
| Token No | SM/24-25/20553 04/04/2024 | Serial | 038 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 9330100895 |
| Address | C/126/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||