Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06212 | Date 08/02/2024 |
| Token No | SM/22-23/18337 08/02/2024 | Serial | 032 |
| Patient Name | Mrs. LALITA MALAKAR | Contact No | 6289697538 |
| Address | 30/29 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||