Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04194 | Date 18/05/2023 |
| Token No | SM/22-23/12905 09/09/2023 | Serial | 044 |
| Patient Name | Mrs. SAPNA BHUIYA | Contact No | 9163832287 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||