Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05851 | Date 12/12/2023 |
| Token No | SM/22-23/16415 12/12/2023 | Serial | 040 |
| Patient Name | Mrs. MADHU SARKAR | Contact No | 9874715495 |
| Address | 188/2 RAJYADHARPUR GOV COLONY SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||