Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05074 | Date 05/09/2023 |
| Token No | SM/22-23/12950 11/09/2023 | Serial | 030 |
| Patient Name | Mrs. RENU SHAW | Contact No | 8961624227 |
| Address | B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||