Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04540 | Date 19/07/2023 |
| Token No | SM/22-23/11035 27/07/2023 | Serial | 019 |
| Patient Name | Mrs. SABITA SEN | Contact No | 7003055176 |
| Address | 48/G GURU GARDEN ROAD SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||