Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05024 | Date 01/09/2023 |
| Token No | SM/22-23/12567 01/09/2023 | Serial | 010 |
| Patient Name | Mrs. SARITA ESAI | Contact No | 7278235586 |
| Address | A/35/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||