Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04688 | Date 02/08/2023 |
| Token No | SM/22-23/11255 02/08/2023 | Serial | 038 |
| Patient Name | Mrs. MAMATA CHAKRABORTY | Contact No | 8910583886 |
| Address | 2/8 SERAMPORE COLONY SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||