Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04765 | Date 09/08/2023 |
| Token No | SM/22-23/14866 31/10/2023 | Serial | 002 |
| Patient Name | Mrs. RAKHI DAS | Contact No | 9123883413 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||