Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04010 | Date 06/04/2023 |
| Token No | SM/22-23/9870 24/06/2023 | Serial | 004 |
| Patient Name | Miss KANCHAN BHUIYA | Contact No | 9088939601 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||