Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02032 | Date 24/06/2022 |
| Token No | SM/22-23/9263 02/06/2023 | Serial | 008 |
| Patient Name | Mrs. GURIYA SHAW | Contact No | 6289281179 |
| Address | 34/B/23 B B GHOSH ROAD SUKANTA PALLY SERAMPORE HOOGHLY 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||