Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03974 | Date 21/03/2023 |
| Token No | SM/22-23/11809 14/08/2023 | Serial | 017 |
| Patient Name | Mrs. SANGITA SIL | Contact No | 7003009563 |
| Address | 219/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||