Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04949 | Date 25/08/2023 |
| Token No | SM/22-23/12839 08/09/2023 | Serial | 028 |
| Patient Name | Mrs. ARCHANA CHAKRABORTY | Contact No | 8697630476 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||