Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04422 | Date 04/07/2023 |
| Token No | SM/22-23/10132 04/07/2023 | Serial | 018 |
| Patient Name | Mrs. DEBIKA GHOSH | Contact No | 9051607174 |
| Address | 8/B B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||