Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03742 | Date 13/02/2023 |
| Token No | SM/22-23/8784 12/05/2023 | Serial | 031 |
| Patient Name | Mrs. DOLI RAM | Contact No | 7278893815 |
| Address | 9/A TARAPUKUR LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||