Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04117 | Date 28/04/2023 |
| Token No | SM/22-23/8481 28/04/2023 | Serial | 013 |
| Patient Name | Mrs. MANORAMA ROY | Contact No | 9874560187 |
| Address | C/127/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 77 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||