Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01777 | Date 01/06/2022 |
| Token No | SM/22-23/9330 06/06/2023 | Serial | 017 |
| Patient Name | Mrs. SARITA PARASRAMPURIA | Contact No | 6290957255 |
| Address | HARIPARA LANE STANDARD FARMACY SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||