Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03597 | Date 11/01/2023 |
| Token No | SM/24-25/29578 18/10/2024 | Serial | 001 |
| Patient Name | Mrs. CHANDANA SARKAR | Contact No | 7044745908 |
| Address | 121 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||