Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03888 | Date 06/03/2023 |
| Token No | SM/22-23/7330 06/03/2023 | Serial | 030 |
| Patient Name | Mrs. SHUKLA CHAKRABORTY | Contact No | 9903738570 |
| Address | 65/25B MAHESH JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||