Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04903 | Date 22/08/2023 |
| Token No | SM/22-23/12499 29/08/2023 | Serial | 034 |
| Patient Name | Mrs. MOUSUMI MONDAL SHAW | Contact No | 7384188624 |
| Address | SERAMPORE J.N LAHIRI ROAD 712201 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||