Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05047 | Date 04/09/2023 |
| Token No | SM/22-23/12674 04/09/2023 | Serial | 024 |
| Patient Name | Mrs. SANGITA SINGH | Contact No | 8697980695 |
| Address | 13/22 B B GHOSH ROAD SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||