Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04267 | Date 01/06/2023 |
| Token No | SM/22-23/9387 08/06/2023 | Serial | 028 |
| Patient Name | Mrs. PAMPA BHANDARI | Contact No | 9143180482 |
| Address | 65/25/16/A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||