Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05278 | Date 28/09/2023 |
| Token No | SM/22-23/13675 28/09/2023 | Serial | 002 |
| Patient Name | Mrs. RENU BANIK | Contact No | 8100317225 |
| Address | D/158/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||