Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03463 | Date 21/12/2022 |
| Token No | SM/24-25/27920 09/09/2024 | Serial | 016 |
| Patient Name | Mrs. SANDHYA SHAW | Contact No | 9088071848 |
| Address | 2 NO SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||