Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04572 | Date 22/07/2023 |
| Token No | SM/22-23/20339 30/03/2024 | Serial | 055 |
| Patient Name | Miss BHASWATI GHOSH | Contact No | 8478051589 |
| Address | 65/22 PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||