Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03872 | Date 04/03/2023 |
| Token No | SM/22-23/7252 04/03/2023 | Serial | 007 |
| Patient Name | Mrs. PRIYA DAS (MAJHI) | Contact No | 9433818647 |
| Address | 66/21 A K ROAD BARRACKPORE M 700123 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||