Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05052 | Date 04/09/2023 |
| Token No | SM/22-23/12856 08/09/2023 | Serial | 045 |
| Patient Name | Miss ADRIKA DAS | Contact No | 7439773124 |
| Address | 125/A PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||