Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05004 | Date 29/08/2023 |
| Token No | SM/22-23/12496 29/08/2023 | Serial | 031 |
| Patient Name | Mrs. JHILIK DAS | Contact No | 8240460984 |
| Address | 28A/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||