Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06383 | Date 06/03/2024 |
| Token No | SM/22-23/19498 06/03/2024 | Serial | 042 |
| Patient Name | Mrs. MOUSUMI GHOSH | Contact No | 8100037112 |
| Address | 8/A/2/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||