Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04541 | Date 19/07/2023 |
| Token No | SM/22-23/10691 19/07/2023 | Serial | 028 |
| Patient Name | Mrs. BEBI HASH | Contact No | 7980669334 |
| Address | 16A/6 PRABASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||