Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05705 | Date 22/11/2023 |
| Token No | SM/22-23/15718 22/11/2023 | Serial | 042 |
| Patient Name | Mrs. CHITRA GHOSH | Contact No | 9331694182 |
| Address | 60/B ARSHI GHOSHAL LANE KONNAGAR M 712235 | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||