Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06494 | Date 30/03/2024 |
| Token No | SM/22-23/20300 30/03/2024 | Serial | 016 |
| Patient Name | Mrs. KALPANA CHOWDHURY | Contact No | 9748513823 |
| Address | 38/D B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||