Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04221 | Date 26/05/2023 |
| Token No | SM/22-23/11363 04/08/2023 | Serial | 058 |
| Patient Name | Mrs. RIMA MAJUMDER | Contact No | 8910547072 |
| Address | 174 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||