Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04704 | Date 04/08/2023 |
| Token No | SM/22-23/11312 04/08/2023 | Serial | 007 |
| Patient Name | Mrs. PRATIMA SAHA | Contact No | 9330289768 |
| Address | 30/71 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||