Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04083 | Date 24/04/2023 |
| Token No | SM/22-23/13904 04/10/2023 | Serial | 021 |
| Patient Name | Mrs. PARAMITA DEY | Contact No | 9903531051 |
| Address | 65/25/28 CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||