Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05641 | Date 10/11/2023 |
| Token No | SM/22-23/15431 10/11/2023 | Serial | 029 |
| Patient Name | Mrs. SAHELI DAS | Contact No | 8240768967 |
| Address | 149/X BLOCK-D TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||