Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04012 | Date 06/04/2023 |
| Token No | SM/24-25/21452 03/05/2024 | Serial | 047 |
| Patient Name | Mrs. PRATIMA RASUYA | Contact No | 8240615130 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||