Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04456 | Date 06/07/2023 |
| Token No | SM/22-23/17903 29/01/2024 | Serial | 067 |
| Patient Name | Mrs. BIBHA CHOWDHURY | Contact No | 8100408788 |
| Address | 34/B/50 B B GHOSH ROAD SERAMPORE 712203 | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||