Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05625 | Date 09/11/2023 |
| Token No | SM/22-23/15342 09/11/2023 | Serial | 001 |
| Patient Name | Mrs. SANDHYA DEBNATH | Contact No | 9123604778 |
| Address | 65/22/8 MAHESH JANAGAR ROAD SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||