Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05899 | Date 19/12/2023 |
| Token No | SM/22-23/16679 19/12/2023 | Serial | 022 |
| Patient Name | Mrs. TIASHA DAS | Contact No | 9088651649 |
| Address | 114/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||