Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04174 | Date 13/05/2023 |
| Token No | SM/22-23/9490 12/06/2023 | Serial | 009 |
| Patient Name | Mrs. DURGARANI DAS | Contact No | 8420332966 |
| Address | 65/14/2 PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||