Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05017 | Date 31/08/2023 |
| Token No | SM/22-23/12549 31/08/2023 | Serial | 035 |
| Patient Name | Miss MOUSUMI DAS | Contact No | 6290200021 |
| Address | 25/3/A PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||