Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05382 | Date 09/10/2023 |
| Token No | SM/22-23/14165 09/10/2023 | Serial | 085 |
| Patient Name | Mrs. SOUME SINGHA ROY | Contact No | 7003916761 |
| Address | 39 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||