Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05397 | Date 10/10/2023 |
| Token No | SM/22-23/14223 10/10/2023 | Serial | 057 |
| Patient Name | Mrs. SEEMA PALIT | Contact No | 9748174375 |
| Address | 242 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||