Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05107 | Date 11/09/2023 |
| Token No | SM/24-25/22594 01/06/2024 | Serial | 015 |
| Patient Name | Mrs. FULKUMARI CHOWDHURY | Contact No | 9432179165 |
| Address | 65/7/8/A PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||