Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03416 | Date 15/12/2022 |
| Token No | SM/22-23/15710 22/11/2023 | Serial | 034 |
| Patient Name | Mrs. BINA MALLICK | Contact No | 6291947729 |
| Address | 9 B B GHOSH ROAD SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||