Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04771 | Date 09/08/2023 |
| Token No | SM/22-23/11606 09/08/2023 | Serial | 064 |
| Patient Name | Mrs. RIMA KARMAKAR | Contact No | |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||