Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04750 | Date 08/08/2023 |
| Token No | SM/22-23/11514 08/08/2023 | Serial | 035 |
| Patient Name | Mrs. SOHINI CHAKRABORTY | Contact No | 9903124418 |
| Address | 2/8 SERAMPORE COLONY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||