Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05820 | Date 09/12/2023 |
| Token No | SM/22-23/16282 09/12/2023 | Serial | 015 |
| Patient Name | Mrs. ARPITA PAL | Contact No | 8420982753 |
| Address | 193/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||