Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06731 | Date 06/05/2024 |
| Token No | SM/24-25/21743 09/05/2024 | Serial | 067 |
| Patient Name | Mrs. ANJANA DAS | Contact No | 6296847700 |
| Address | 34B/51 B.B GHOSH ROAD SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||