Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02534 | Date 24/08/2022 |
| Token No | SM/24-25/24439 04/07/2024 | Serial | 055 |
| Patient Name | Mrs. PUJA DOLUI | Contact No | 8276099150 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||