Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03834 | Date 25/02/2023 |
| Token No | SM/22-23/7062 25/02/2023 | Serial | 003 |
| Patient Name | Mrs. SHIBANI BANIK | Contact No | 9051741515 |
| Address | B/107/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 74 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||