Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03171 | Date 17/11/2022 |
| Token No | SM/22-23/9822 22/06/2023 | Serial | 023 |
| Patient Name | Mrs. BABITA JHA | Contact No | 9874712068 |
| Address | 9/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||