Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01889 | Date 10/06/2022 |
| Token No | SM/22-23/4908 30/11/2022 | Serial | 043 |
| Patient Name | Mrs. RUBI RASUYA | Contact No | 8100458318 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||