Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03632 | Date 21/01/2023 |
| Token No | SM/22-23/6559 04/02/2023 | Serial | 008 |
| Patient Name | Mrs. KAMALA DAS | Contact No | 8420333103 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||