Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05504 | Date 26/10/2023 |
| Token No | SM/22-23/14730 27/10/2023 | Serial | 002 |
| Patient Name | Mrs. KAVITA BHUIYA | Contact No | 9163545106 |
| Address | HARIJAN BASTI B.B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||