Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05704 | Date 22/11/2023 |
| Token No | SM/22-23/15905 28/11/2023 | Serial | 042 |
| Patient Name | Mrs. MAMPI CHAKRABORTY ACHARYA | Contact No | 8240479938 |
| Address | 207 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||