Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04477 | Date 10/07/2023 |
| Token No | SM/22-23/14535 17/10/2023 | Serial | 078 |
| Patient Name | Mrs. PRIYA MAJHI | Contact No | 9340036275 |
| Address | B B GHOSH ROAD TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||