Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03946 | Date 16/03/2023 |
| Token No | SM/22-23/7588 16/03/2023 | Serial | 013 |
| Patient Name | Mrs. NIPA SARKAR KARMAKAR | Contact No | 8584963932 |
| Address | 16A/5 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||