Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05430 | Date 13/10/2023 |
| Token No | SM/22-23/16848 23/12/2023 | Serial | 007 |
| Patient Name | Mrs. RIMPA DUTTA | Contact No | 6291919317 |
| Address | 9A/2 DINEN BHATTARCHARJEE SARANI SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||