Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04747 | Date 08/08/2023 |
| Token No | SM/22-23/11506 08/08/2023 | Serial | 027 |
| Patient Name | Miss KOYEL MAITY | Contact No | 8116312019 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||