Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06087 | Date 22/01/2024 |
| Token No | SM/24-25/26376 09/08/2024 | Serial | 076 |
| Patient Name | Mrs. RUMKI GHOSH | Contact No | 9163513291 |
| Address | B/75/Y TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||