Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04945 | Date 24/08/2023 |
| Token No | SM/22-23/12290 24/08/2023 | Serial | 045 |
| Patient Name | Mrs. MOUSUMI DAS | Contact No | 9749352112 |
| Address | 9/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||