Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04968 | Date 26/08/2023 |
| Token No | SM/22-23/12380 26/08/2023 | Serial | 026 |
| Patient Name | Mrs. DIPALI DAS | Contact No | 9836966583 |
| Address | 173 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||