Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05122 | Date 12/09/2023 |
| Token No | SM/22-23/13104 14/09/2023 | Serial | 012 |
| Patient Name | Mrs. KANAN ROY | Contact No | 7605822347 |
| Address | 83 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||