Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04405 | Date 01/07/2023 |
| Token No | SM/22-23/15449 10/11/2023 | Serial | 047 |
| Patient Name | Mrs. GUDIYA RABIDAS | Contact No | 8910969720 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||