Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05647 | Date 10/11/2023 |
| Token No | SM/22-23/15450 10/11/2023 | Serial | 048 |
| Patient Name | Mrs. JAYATI SAHA | Contact No | 8961339599 |
| Address | 135 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||