Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08004 | Date 08/10/2024 |
| Token No | SM/24-25/29329 08/10/2024 | Serial | 045 |
| Patient Name | Mrs. SARASWATI MALIK | Contact No | 7439534847 |
| Address | 5 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||