Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04428 | Date 04/07/2023 |
| Token No | SM/22-23/10160 04/07/2023 | Serial | 046 |
| Patient Name | Mrs. DIPA BANERJEE | Contact No | 9732019504 |
| Address | 215/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||