Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05512 | Date 27/10/2023 |
| Token No | SM/22-23/14760 27/10/2023 | Serial | 032 |
| Patient Name | Miss SILPA KOIRI | Contact No | 9163530129 |
| Address | 157/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||