Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04787 | Date 10/08/2023 |
| Token No | SM/22-23/11655 10/08/2023 | Serial | 045 |
| Patient Name | Mrs. MAHAMAYA PAL | Contact No | 9231262461 |
| Address | 2 NO RAJYADHARPUR SERAMPORE COLONY | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||