Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06447 | Date 19/03/2024 |
| Token No | SM/22-23/19990 19/03/2024 | Serial | 026 |
| Patient Name | Mrs. DURGA DAS | Contact No | 8583028841 |
| Address | 55A/12 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||