Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04520 | Date 17/07/2023 |
| Token No | SM/22-23/10598 17/07/2023 | Serial | 010 |
| Patient Name | Mrs. ANJU DHAR | Contact No | 8910698498 |
| Address | 9/371/S B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||