Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03029 | Date 02/11/2022 |
| Token No | SM/22-23/7640 17/03/2023 | Serial | 027 |
| Patient Name | Mrs. JAMUNA BHUIYA | Contact No | 9330603860 |
| Address | D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||