Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04350 | Date 17/06/2023 |
| Token No | SM/22-23/13789 30/09/2023 | Serial | 009 |
| Patient Name | Mrs. LILA RANI SAHA | Contact No | 8334827940 |
| Address | 208 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||