Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06453 | Date 21/03/2024 |
| Token No | SM/22-23/20028 21/03/2024 | Serial | 008 |
| Patient Name | Miss TIYASA SARKAR | Contact No | 8902366790 |
| Address | 65/25/13/A PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||