Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05392 | Date 10/10/2023 |
| Token No | SM/22-23/14195 10/10/2023 | Serial | 029 |
| Patient Name | Mrs. SEMLATA DEVI PANDEY | Contact No | 6291306588 |
| Address | 159 NEW MAHESH B B GHOSH ROAD SERAMPORE M 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||