Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04703 | Date 04/08/2023 |
| Token No | SM/22-23/11311 04/08/2023 | Serial | 006 |
| Patient Name | Mrs. MADHUMITA SIL | Contact No | 7278555807 |
| Address | 50/X TARAPUKUR GOVT QUARTER 7122203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||