Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04464 | Date 07/07/2023 |
| Token No | SM/22-23/19565 07/03/2024 | Serial | 042 |
| Patient Name | Mrs. PINKI BHUIYA | Contact No | 9007795638 |
| Address | B B GHOSH ROAD HARIJAN QUARTER SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||