Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08320 | Date 29/11/2024 |
| Token No | SM/24-25/32019 29/11/2024 | Serial | 033 |
| Patient Name | Mrs. MADHUMITA SIL | Contact No | 6289605758 |
| Address | 193/1 2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||