Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03650 | Date 25/01/2023 |
| Token No | SM/22-23/11797 14/08/2023 | Serial | 005 |
| Patient Name | Mrs. ARCHANA DAS | Contact No | 9830934375 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||