Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04277 | Date 06/06/2023 |
| Token No | SM/22-23/9334 06/06/2023 | Serial | 021 |
| Patient Name | Mrs. SHEFALI SINGH | Contact No | 9088071848 |
| Address | 30 2 NO COLONY TARAPUKUR SERAMPORE 712203 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||