Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05787 | Date 04/12/2023 |
| Token No | SM/22-23/16124 04/12/2023 | Serial | 014 |
| Patient Name | Mrs. RINA SAHA | Contact No | 9830562667 |
| Address | 15/C PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||