Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06757 | Date 10/05/2024 |
| Token No | SM/25-26/5665 01/08/2025 | Serial | 025 |
| Patient Name | Mrs. SHILA DEY | Contact No | 9038238203 |
| Address | D/145/Y TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||