Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03298 | Date 30/11/2022 |
| Token No | SM/22-23/4917 30/11/2022 | Serial | 052 |
| Patient Name | Mrs. KAJAL BHUIYA | Contact No | 8100128722 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||