Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01483 | Date 25/04/2020 |
| Token No | SM/24-25/23804 26/06/2024 | Serial | 080 |
| Patient Name | Mrs. TINKU CHAKRABORTY | Contact No | 9734701635 |
| Address | C/118/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||