Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07111 | Date 24/06/2024 |
| Token No | SM/24-25/23639 24/06/2024 | Serial | 063 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 9874380848 |
| Address | 31/1 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||