Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04929 | Date 24/08/2023 |
| Token No | SM/22-23/12255 24/08/2023 | Serial | 010 |
| Patient Name | Mrs. SHIVKUMARI DEVI | Contact No | |
| Address | TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 78 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||