Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08472 | Date 27/12/2024 |
| Token No | SM/24-25/33331 27/12/2024 | Serial | 064 |
| Patient Name | Mrs. IPSITA GHOSH | Contact No | 7980266606 |
| Address | 166 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||