Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05998 | Date 03/01/2024 |
| Token No | SM/22-23/17164 03/01/2024 | Serial | 036 |
| Patient Name | Mrs. MADHABI SARKAR | Contact No | 6291195581 |
| Address | 4 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||