Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01657 | Date 25/05/2022 |
| Token No | SM/22-23/7414 10/03/2023 | Serial | 018 |
| Patient Name | Miss SUMANA DUTTA | Contact No | 6243890307 |
| Address | C/127/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||