Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04617 | Date 26/07/2023 |
| Token No | SM/24-25/25399 23/07/2024 | Serial | 034 |
| Patient Name | Mrs. SHRABANI CHAKRABORTY | Contact No | 9163103212 |
| Address | 43/20/H/2 GURU GARDEN ROAD SERAMPORE M 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||