Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03973 | Date 21/03/2023 |
| Token No | SM/22-23/12890 09/09/2023 | Serial | 029 |
| Patient Name | Mrs. RIYA DAS | Contact No | 6289469455 |
| Address | SOCIETY MATH B.B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||