Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07842 | Date 05/09/2024 |
| Token No | SM/24-25/27772 05/09/2024 | Serial | 056 |
| Patient Name | Mrs. CHHABI DAS | Contact No | 8479937447 |
| Address | 192 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||