Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05182 | Date 20/09/2023 |
| Token No | SM/22-23/13310 20/09/2023 | Serial | 028 |
| Patient Name | Mrs. SASWATI CHATTERJEE | Contact No | 9330360736 |
| Address | 14/B SATISH CHANDRA GHOSH LANE SERAMPORE 712202 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||