Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04751 | Date 08/08/2023 |
| Token No | SM/22-23/11524 08/08/2023 | Serial | 045 |
| Patient Name | Mrs. SUBHRA PAL | Contact No | 8697615475 |
| Address | 1-67 RAJYADHARPUR GOVT GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||