Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05214 | Date 22/09/2023 |
| Token No | SM/22-23/13408 22/09/2023 | Serial | 029 |
| Patient Name | Mrs. SUMITRA SINGH | Contact No | 8240631148 |
| Address | 13/25 B B GHOSH ROAD SERAMPORE M 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||