Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03055 | Date 04/11/2022 |
| Token No | SM/22-23/8937 18/05/2023 | Serial | 022 |
| Patient Name | Mrs. PURNIMA GAYEN | Contact No | 9883606635 |
| Address | 13/54 B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||