Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07998 | Date 07/10/2024 |
| Token No | SM/24-25/33194 24/12/2024 | Serial | 031 |
| Patient Name | Mrs. MANJU MALIK | Contact No | 8274034807 |
| Address | 2 TARAPUKUR COLONY SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||