Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05175 | Date 19/09/2023 |
| Token No | SM/22-23/13263 19/09/2023 | Serial | 028 |
| Patient Name | Mrs. KABITA BAG | Contact No | 7044150504 |
| Address | 10/A TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||