Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03841 | Date 28/02/2023 |
| Token No | SM/22-23/7103 28/02/2023 | Serial | 026 |
| Patient Name | Mrs. SRITI BHATTACHARYA | Contact No | |
| Address | 173/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 73 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||