Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05992 | Date 03/01/2024 |
| Token No | SM/24-25/32370 06/12/2024 | Serial | 028 |
| Patient Name | Mrs. RINA DEVI | Contact No | 9007513406 |
| Address | 23/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||