Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04051 | Date 13/04/2023 |
| Token No | SM/22-23/9795 21/06/2023 | Serial | 043 |
| Patient Name | Mrs. PRIYANKA DEY | Contact No | 8910638772 |
| Address | 30/25 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||