Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02892 | Date 14/10/2022 |
| Token No | SM/22-23/7656 18/03/2023 | Serial | 009 |
| Patient Name | Mrs. APARNA DEY | Contact No | 6290651661 |
| Address | 1/19 RAJYADHARPUR GOVT QUARTER SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||