Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03674 | Date 31/01/2023 |
| Token No | SM/22-23/12080 21/08/2023 | Serial | 016 |
| Patient Name | Mrs. MALLIKA DAS | Contact No | 7044171640 |
| Address | C/126/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||