Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05077 | Date 07/09/2023 |
| Token No | SM/22-23/12793 07/09/2023 | Serial | 021 |
| Patient Name | Mrs. TAGARI DAS | Contact No | 7980633488 |
| Address | 9 B B GHOSH ROAD SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||