Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00560 | Date 16/12/2019 |
| Token No | SM/24-25/22861 07/06/2024 | Serial | 037 |
| Patient Name | Mrs. GITA BHATTACHARJEE | Contact No | 7596923374 |
| Address | 190/2 RAJYADHARPUR GOVE COLONY SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||