Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04803 | Date 11/08/2023 |
| Token No | SM/22-23/11738 11/08/2023 | Serial | 058 |
| Patient Name | Mrs. RINA SINGH | Contact No | 8583013651 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||