Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04843 | Date 17/08/2023 |
| Token No | SM/24-25/22033 16/05/2024 | Serial | 064 |
| Patient Name | Mrs. CHAMPA ROY | Contact No | 8479939886 |
| Address | 123/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||