Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03488 | Date 24/12/2022 |
| Token No | SM/22-23/7888 30/03/2023 | Serial | 003 |
| Patient Name | Mrs. BOKUL SAHA | Contact No | 9123706863 |
| Address | 30/19 TARAPUKUR LANE SERAMPORE 712203 | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||