Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04342 | Date 16/06/2023 |
| Token No | SM/22-23/15437 10/11/2023 | Serial | 035 |
| Patient Name | Mrs. SWAPNA GHOSH | Contact No | 9674118392 |
| Address | 73/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||