Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04510 | Date 14/07/2023 |
| Token No | SM/22-23/10542 14/07/2023 | Serial | 034 |
| Patient Name | Miss TITHISA GHOSH | Contact No | 8910667453 |
| Address | 30/32/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||