Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06422 | Date 13/03/2024 |
| Token No | SM/22-23/19780 13/03/2024 | Serial | 035 |
| Patient Name | Mrs. JAMUNA BERA | Contact No | 7595960779 |
| Address | B B GHOSH ROAD MALLICKPARA SERAMPORE M 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||