Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05763 | Date 30/11/2023 |
| Token No | SM/22-23/15986 30/11/2023 | Serial | 034 |
| Patient Name | Mrs. ARPITA GOUR | Contact No | 8585018410 |
| Address | 23/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||