Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08133 | Date 30/10/2024 |
| Token No | SM/24-25/30413 30/10/2024 | Serial | 071 |
| Patient Name | Mrs. REBEKA SAIMUN | Contact No | |
| Address | 58/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||