Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07166 | Date 27/06/2024 |
| Token No | SM/24-25/23836 27/06/2024 | Serial | 020 |
| Patient Name | Mrs. JASAWA BHUIYA | Contact No | 8910211805 |
| Address | C/1 B B GHOSH ROAD SERAMPORE M 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||