Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07985 | Date 05/10/2024 |
| Token No | SM/24-25/29127 05/10/2024 | Serial | 011 |
| Patient Name | Mrs. BANTI BISWAS | Contact No | 9002916133 |
| Address | 9/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||