Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04438 | Date 05/07/2023 |
| Token No | SM/22-23/10215 05/07/2023 | Serial | 034 |
| Patient Name | Mrs. SADHANA CHAKRABORTY | Contact No | 8583046539 |
| Address | 47/A MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||