Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04873 | Date 19/08/2023 |
| Token No | SM/22-23/12034 19/08/2023 | Serial | 004 |
| Patient Name | Mrs. SABITA MAJUMDER | Contact No | 7044237593 |
| Address | 174 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||