Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03694 | Date 01/02/2023 |
| Token No | SM/22-23/16744 20/12/2023 | Serial | 031 |
| Patient Name | Mrs. SUJATA BHATTACHARYA | Contact No | 9143606788 |
| Address | 190/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||