Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05449 | Date 17/10/2023 |
| Token No | SM/22-23/14945 01/11/2023 | Serial | 027 |
| Patient Name | Mrs. SARALA BISWAS | Contact No | 8336005870 |
| Address | 30/60/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||