Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04664 | Date 31/07/2023 |
| Token No | SM/22-23/11239 02/08/2023 | Serial | 022 |
| Patient Name | Mrs. SIMA GHOSH | Contact No | 7450876803 |
| Address | 177 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||