Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04129 | Date 02/05/2023 |
| Token No | SM/22-23/8535 02/05/2023 | Serial | 019 |
| Patient Name | Mrs. LAKSHMI BAG | Contact No | 8478816140 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||