Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05319 | Date 03/10/2023 |
| Token No | SM/22-23/13907 04/10/2023 | Serial | 024 |
| Patient Name | Mrs. SABETRI DEVI | Contact No | 9903056791 |
| Address | 20/A/3 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||