Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03674 | Date 31/01/2023 |
| Token No | SM/24-25/35006 31/01/2025 | Serial | 085 |
| Patient Name | Mrs. MALLIKA DAS | Contact No | 7044171640 |
| Address | C/126/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||