Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05846 | Date 12/12/2023 |
| Token No | SM/22-23/17104 02/01/2024 | Serial | 015 |
| Patient Name | Miss SUNITA DEBNATH | Contact No | 9123770884 |
| Address | 20/E SERAMPORE PRAVASHNAGAR 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||