Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05575 | Date 04/11/2023 |
| Token No | SM/22-23/15117 04/11/2023 | Serial | 004 |
| Patient Name | Miss RADHA BHUIYA | Contact No | 8482061844 |
| Address | B B GHOSH ROAD D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||