Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04999 | Date 29/08/2023 |
| Token No | SM/22-23/12688 04/09/2023 | Serial | 038 |
| Patient Name | Mrs. BASANTI DEBNATH | Contact No | 9143888225 |
| Address | 43/27/A/10 PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||