Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03954 | Date 17/03/2023 |
| Token No | SM/22-23/7624 17/03/2023 | Serial | 011 |
| Patient Name | Mrs. SHARMILA ROY | Contact No | 8240211297 |
| Address | 5/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||