Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04711 | Date 04/08/2023 |
| Token No | SM/24-25/21694 09/05/2024 | Serial | 018 |
| Patient Name | Mrs. SONI DHAR | Contact No | 8100587845 |
| Address | 34/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||