Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04427 | Date 04/07/2023 |
| Token No | SM/22-23/10157 04/07/2023 | Serial | 043 |
| Patient Name | Mrs. DEBIKA BHATTACHARYA | Contact No | 7595927706 |
| Address | 30/76 TARAPUKUR LANE SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||