Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00147 | Date 16/09/2019 |
| Token No | SM/24-25/27150 24/08/2024 | Serial | 008 |
| Patient Name | Mrs. SULEKHA GHOSH | Contact No | 9836827511 |
| Address | B/108/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||