Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04578 | Date 24/07/2023 |
| Token No | SM/22-23/10851 24/07/2023 | Serial | 019 |
| Patient Name | Mrs. SUKRI BHUIYA | Contact No | 6289980549 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||