Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04170 | Date 12/05/2023 |
| Token No | SM/22-23/8780 12/05/2023 | Serial | 027 |
| Patient Name | Mrs. RIYA SAHA | Contact No | 6290694588 |
| Address | 162 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||