Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05953 | Date 27/12/2023 |
| Token No | SM/22-23/17240 05/01/2024 | Serial | 034 |
| Patient Name | Mrs. RIMI BAKSHI | Contact No | 9641308712 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||