Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03602 | Date 13/01/2023 |
| Token No | SM/22-23/12168 22/08/2023 | Serial | 036 |
| Patient Name | Mrs. UJJALA PAL | Contact No | 9088518270 |
| Address | 10A/2 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||