Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05318 | Date 03/10/2023 |
| Token No | SM/22-23/13862 03/10/2023 | Serial | 035 |
| Patient Name | Mrs. GITA CHOWDHURY | Contact No | 8100407988 |
| Address | 192 NEW MAHESH SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||