Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02784 | Date 26/09/2022 |
| Token No | SM/22-23/17085 30/12/2023 | Serial | 037 |
| Patient Name | Mrs. MOUSUMI BOSE | Contact No | 9088710687 |
| Address | 14 KAILASH CHANDRA CHATTERJEE LANE MANIKTALA SERAMPORE 712201 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||