Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03221 | Date 22/11/2022 |
| Token No | SM/24-25/23908 27/06/2024 | Serial | 092 |
| Patient Name | Mrs. BULBUL DAM | Contact No | 9339451431 |
| Address | 34B/54 B B GHOSH ROAD SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||