Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04681 | Date 01/08/2023 |
| Token No | SM/22-23/11376 04/08/2023 | Serial | 071 |
| Patient Name | Mrs. SWETA KUMARI SHARMA | Contact No | 7596815006 |
| Address | 74X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||