Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07883 | Date 10/09/2024 |
| Token No | SM/24-25/28034 10/09/2024 | Serial | 050 |
| Patient Name | Mrs. SOMA ROY | Contact No | 6291667314 |
| Address | 30/9/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||