Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05001 | Date 29/08/2023 |
| Token No | SM/22-23/13005 12/09/2023 | Serial | 029 |
| Patient Name | Mrs. PIYALI DAS | Contact No | 7439779952 |
| Address | 138/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||