Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04585 | Date 24/07/2023 |
| Token No | SM/22-23/15440 10/11/2023 | Serial | 038 |
| Patient Name | Mrs. DIPA BISWAS | Contact No | 9051879417 |
| Address | 136/X/D TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||