Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04661 | Date 31/07/2023 |
| Token No | SM/22-23/11140 31/07/2023 | Serial | 037 |
| Patient Name | Mrs. JOHI CHOWDHURY | Contact No | 7003263248 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||