Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08268 | Date 23/11/2024 |
| Token No | SM/24-25/31665 23/11/2024 | Serial | 031 |
| Patient Name | Mrs. SIMA KUMARI | Contact No | 8252471838 |
| Address | 30/14 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||