Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08084 | Date 23/10/2024 |
| Token No | SM/24-25/29933 23/10/2024 | Serial | 005 |
| Patient Name | Mrs. GITA HAZRA | Contact No | 8777478173 |
| Address | 13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||