Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05586 | Date 06/11/2023 |
| Token No | SM/24-25/28462 20/09/2024 | Serial | 012 |
| Patient Name | Mrs. PALLABI KARMAKAR | Contact No | 7980042190 |
| Address | 98 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||