Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04706 | Date 04/08/2023 |
| Token No | SM/22-23/11314 04/08/2023 | Serial | 009 |
| Patient Name | Mrs. ABIRA SAHA | Contact No | 8981316998 |
| Address | 4/A TARAPUKUR LANE SERAMPORE M 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||