Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04470 | Date 10/07/2023 |
| Token No | SM/22-23/10339 10/07/2023 | Serial | 009 |
| Patient Name | Mrs. SUJATA DAS | Contact No | 9007669160 |
| Address | 3/1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||