Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04648 | Date 28/07/2023 |
| Token No | SM/22-23/11090 28/07/2023 | Serial | 022 |
| Patient Name | Mrs. SAMPA SAHA | Contact No | 9748935054 |
| Address | 30/22/A TARAPUKUR LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||