Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06960 | Date 08/06/2024 |
| Token No | SM/24-25/24106 01/07/2024 | Serial | 015 |
| Patient Name | Mrs. RUPA CHAKRABORTY | Contact No | 8777250282 |
| Address | A/12/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||