Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06373 | Date 02/03/2024 |
| Token No | SM/22-23/19339 02/03/2024 | Serial | 034 |
| Patient Name | Mrs. MIRA DAS | Contact No | 7980875819 |
| Address | 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||