Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04054 | Date 17/04/2023 |
| Token No | SM/22-23/8229 17/04/2023 | Serial | 010 |
| Patient Name | Mrs. SADHANA CHATTARAJ | Contact No | 9088657028 |
| Address | 31/X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 80 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||