Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05993 | Date 03/01/2024 |
| Token No | SM/22-23/17139 03/01/2024 | Serial | 011 |
| Patient Name | Mrs. DIPA GOUR | Contact No | 7044760678 |
| Address | 23/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||