Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06400 | Date 11/03/2024 |
| Token No | SM/22-23/19657 11/03/2024 | Serial | 011 |
| Patient Name | Mrs. NAGARI DAS | Contact No | 8478057821 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||