Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04346 | Date 16/06/2023 |
| Token No | SM/22-23/9668 16/06/2023 | Serial | 035 |
| Patient Name | Mrs. SANTA CHOWDHURY | Contact No | 9836940596 |
| Address | 38/2 SERAMPORE COLONY 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||