Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04502 | Date 13/07/2023 |
| Token No | SM/22-23/10500 13/07/2023 | Serial | 039 |
| Patient Name | Mrs. KABITA DAS | Contact No | 8479866170 |
| Address | 2/230 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||