Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04863 | Date 18/08/2023 |
| Token No | SM/22-23/13583 26/09/2023 | Serial | 050 |
| Patient Name | Mrs. ANJANA SAHA | Contact No | 8100537771 |
| Address | 137/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||