Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01534 | Date 30/04/2020 |
| Token No | SM/22-23/7174 02/03/2023 | Serial | 015 |
| Patient Name | Mrs. BIJAYA PAKIRA | Contact No | 8013878691 |
| Address | 34/B/36 B B GHOSH ROAD SERAMPORE 712203 | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||