Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05790 | Date 04/12/2023 |
| Token No | SM/22-23/16148 04/12/2023 | Serial | 038 |
| Patient Name | Mrs. RAMIYA KANDAL | Contact No | 7029211325 |
| Address | HARIJAN BOSTI B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||