Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04613 | Date 26/07/2023 |
| Token No | SM/22-23/10972 26/07/2023 | Serial | 016 |
| Patient Name | Mrs. KRISHNA DEBI | Contact No | 9748364963 |
| Address | 165/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||