Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04814 | Date 12/08/2023 |
| Token No | SM/22-23/11771 12/08/2023 | Serial | 022 |
| Patient Name | Mrs. ASHA DEVI CHOUDHURY | Contact No | 6290373638 |
| Address | 192 B B GHOSH ROAD SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||