Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06850 | Date 24/05/2024 |
| Token No | SM/24-25/33196 24/12/2024 | Serial | 033 |
| Patient Name | Mrs. URMILA MAHARANA | Contact No | 9051048662 |
| Address | 153X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||