Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04781 | Date 10/08/2023 |
| Token No | SM/22-23/11634 10/08/2023 | Serial | 024 |
| Patient Name | Miss MAYA DAS | Contact No | 9007611827 |
| Address | 244/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||