Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05692 | Date 21/11/2023 |
| Token No | SM/22-23/15641 21/11/2023 | Serial | 012 |
| Patient Name | Mrs. SOMA SINGHA | Contact No | 8777536130 |
| Address | CHAKLAPARA SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||