Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04852 | Date 17/08/2023 |
| Token No | SM/24-25/25767 30/07/2024 | Serial | 036 |
| Patient Name | Mrs. RITA PAL | Contact No | 9231262461 |
| Address | 244/A 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||