Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05386 | Date 10/10/2023 |
| Token No | SM/22-23/14178 10/10/2023 | Serial | 012 |
| Patient Name | Mrs. BITUSHI DAS | Contact No | 9748908708 |
| Address | 8/A/2/19 PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||