Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05490 | Date 21/10/2023 |
| Token No | SM/22-23/14677 21/10/2023 | Serial | 008 |
| Patient Name | Mrs. JOTI RASUYA | Contact No | 8697430432 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||