Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06445 | Date 19/03/2024 |
| Token No | SM/22-23/20329 30/03/2024 | Serial | 045 |
| Patient Name | Mrs. MALU DEY | Contact No | 8100408788 |
| Address | 35/B B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||