Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03988 | Date 27/03/2023 |
| Token No | SM/22-23/7844 27/03/2023 | Serial | 019 |
| Patient Name | Mrs. RITA DEBI SHAW | Contact No | 8013282892 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||