Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04982 | Date 28/08/2023 |
| Token No | SM/22-23/12441 28/08/2023 | Serial | 043 |
| Patient Name | Miss ARPITA DAS | Contact No | 9836966583 |
| Address | 173 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||