Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04983 | Date 28/08/2023 |
| Token No | SM/22-23/12443 28/08/2023 | Serial | 045 |
| Patient Name | Miss MOUSUMI KUMARI | Contact No | 7890362728 |
| Address | 14/2 RAJYADHARPUR SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||