Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05620 | Date 08/11/2023 |
| Token No | SM/22-23/15308 08/11/2023 | Serial | 021 |
| Patient Name | Mrs. TAPASI BAKSHI | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||