Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06940 | Date 05/06/2024 |
| Token No | SM/24-25/23099 13/06/2024 | Serial | 014 |
| Patient Name | Mrs. GOPA DUTTA | Contact No | 7003618685 |
| Address | 9/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||