Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04501 | Date 13/07/2023 |
| Token No | SM/22-23/10493 13/07/2023 | Serial | 032 |
| Patient Name | Mrs. PURNIMA PODDAR | Contact No | 9903544566 |
| Address | 151 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||