Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04395 | Date 30/06/2023 |
| Token No | SM/22-23/15443 10/11/2023 | Serial | 041 |
| Patient Name | Mrs. SARBANI BAG | Contact No | 8420168358 |
| Address | 30/13 TARAPUKUR LANE MALLICK PARA SERAMPORE M 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||