Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05424 | Date 13/10/2023 |
| Token No | SM/22-23/14364 13/10/2023 | Serial | 019 |
| Patient Name | Mrs. SANDHYA DEBNATH | Contact No | 7439503569 |
| Address | 9/371/F B.B GHOSH ROAD 24 PALLY SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||