Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05652 | Date 11/11/2023 |
| Token No | SM/22-23/15473 11/11/2023 | Serial | 023 |
| Patient Name | Mrs. CHANCHALA CHOWDHURY | Contact No | 7439573542 |
| Address | 38/D B B GHOSH ROAD SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||