Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05425 | Date 13/10/2023 |
| Token No | SM/22-23/14367 13/10/2023 | Serial | 022 |
| Patient Name | Mrs. SUNITA DUTTA PASWAN | Contact No | 7449506638 |
| Address | 65/5 PRAVASNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||