Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05438 | Date 16/10/2023 |
| Token No | SM/22-23/14431 16/10/2023 | Serial | 038 |
| Patient Name | Mrs. SOMA DAS | Contact No | 8478092629 |
| Address | 208 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||