Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03864 | Date 03/03/2023 |
| Token No | SM/22-23/7230 03/03/2023 | Serial | 022 |
| Patient Name | Mrs. CHANDANA BAG | Contact No | 8420166162 |
| Address | 28 NETAJI SUBASH AVENUE SERAMPORE 712201 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||