Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04915 | Date 22/08/2023 |
| Token No | SM/24-25/25555 25/07/2024 | Serial | 067 |
| Patient Name | Mrs. SWAPNA MAJUMDER | Contact No | 7044237593 |
| Address | 174 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||