Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05106 | Date 11/09/2023 |
| Token No | SM/22-23/13017 12/09/2023 | Serial | 041 |
| Patient Name | Mrs. PARBATI MONDAL | Contact No | 9123013641 |
| Address | 2/C TARAPUKUR LANE SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||