Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05250 | Date 26/09/2023 |
| Token No | SM/22-23/13566 26/09/2023 | Serial | 033 |
| Patient Name | Mrs. PIYALI MAJUMDAR | Contact No | 9874277452 |
| Address | 9/371 B B GHOSH ROAD 24 ER PALLY SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||