Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05082 | Date 08/09/2023 |
| Token No | SM/22-23/12814 08/09/2023 | Serial | 003 |
| Patient Name | Mrs. PURABI DUTTA | Contact No | 6289258950 |
| Address | 65/11 PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||