Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05549 | Date 01/11/2023 |
| Token No | SM/22-23/14956 01/11/2023 | Serial | 038 |
| Patient Name | Mrs. MAYARANI GHOSH | Contact No | |
| Address | 10A/4 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||