Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04604 | Date 25/07/2023 |
| Token No | SM/22-23/10925 25/07/2023 | Serial | 039 |
| Patient Name | Mrs. SANGITA DEY SARKAR | Contact No | 7890601304 |
| Address | 58 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||