Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04807 | Date 12/08/2023 |
| Token No | SM/22-23/12670 04/09/2023 | Serial | 020 |
| Patient Name | Mrs. GITA DEVI | Contact No | 7980594058 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||