Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03693 | Date 01/02/2023 |
| Token No | SM/22-23/7759 23/03/2023 | Serial | 023 |
| Patient Name | Mrs. SUSAMA SINGH | Contact No | 6291084616 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||