Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06398 | Date 09/03/2024 |
| Token No | SM/24-25/24467 05/07/2024 | Serial | 017 |
| Patient Name | Mrs. SHYAMALI DAS | Contact No | 9088852156 |
| Address | 27/C JANNAGAR ROAD MAHESH 1 SERAMPORE 712202 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||