Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04641 | Date 27/07/2023 |
| Token No | SM/22-23/11198 01/08/2023 | Serial | 039 |
| Patient Name | Mrs. SUTAPA ROUTH | Contact No | 9674783812 |
| Address | 60/1 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||