Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03596 | Date 11/01/2023 |
| Token No | SM/24-25/30822 09/11/2024 | Serial | 050 |
| Patient Name | Mrs. NIYATI CHAKRABORTY | Contact No | 8100608143 |
| Address | 30/72 TARAPUKUR LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||