Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05971 | Date 29/12/2023 |
| Token No | SM/22-23/17046 29/12/2023 | Serial | 034 |
| Patient Name | Mrs. SUJATA SIL | Contact No | |
| Address | 30 SERAMPORE COLONY SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||