Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07109 | Date 24/06/2024 |
| Token No | SM/24-25/33435 30/12/2024 | Serial | 033 |
| Patient Name | Mrs. BULU CHAKRABORTY | Contact No | 9831991256 |
| Address | 79/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||