Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04500 | Date 13/07/2023 |
| Token No | SM/22-23/15919 29/11/2023 | Serial | 011 |
| Patient Name | Mrs. MAMPI MONDAL | Contact No | 9434384336 |
| Address | 128 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||