Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05030 | Date 01/09/2023 |
| Token No | SM/22-23/12588 01/09/2023 | Serial | 031 |
| Patient Name | Mrs. RANJITA MAJUMDER | Contact No | 7980251131 |
| Address | 1/B/1 PRABASHNAGAR SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||