Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05865 | Date 13/12/2023 |
| Token No | SM/22-23/16481 13/12/2023 | Serial | 060 |
| Patient Name | Mrs. BARNALI GHORUI | Contact No | 7044976549 |
| Address | 38/D B B GHOSH ROAD SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||