Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05442 | Date 16/10/2023 |
| Token No | SM/22-23/14449 16/10/2023 | Serial | 056 |
| Patient Name | Mrs. MUNMUN DAS | Contact No | 9674398941 |
| Address | 30/34 TARAPUKUR COLONY SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||