Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05011 | Date 31/08/2023 |
| Token No | SM/22-23/12521 31/08/2023 | Serial | 007 |
| Patient Name | Mrs. PARBATI KANDAL | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||