Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05910 | Date 19/12/2023 |
| Token No | SM/22-23/16710 19/12/2023 | Serial | 053 |
| Patient Name | Mrs. ILA KARMAKAR | Contact No | 9748331414 |
| Address | 30/40A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||