Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04723 | Date 05/08/2023 |
| Token No | SM/22-23/11739 11/08/2023 | Serial | 059 |
| Patient Name | Mrs. GUDIYA SHAW | Contact No | 7439600253 |
| Address | 65/25/9 M J ROAD SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||