Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06011 | Date 05/01/2024 |
| Token No | SM/22-23/17230 05/01/2024 | Serial | 024 |
| Patient Name | Mrs. RUNA CHAKRABORTY | Contact No | 7890227932 |
| Address | 20C/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||