Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05578 | Date 04/11/2023 |
| Token No | SM/22-23/16884 26/12/2023 | Serial | 011 |
| Patient Name | Mrs. ANJU CHAKRABORTY DAS | Contact No | 9836179254 |
| Address | 2/245 MAHESH COLONY SERAMPORE 712202 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||