Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03922 | Date 13/03/2023 |
| Token No | SM/24-25/25445 24/07/2024 | Serial | 032 |
| Patient Name | Mrs. BIRATI SHAW | Contact No | 9163070559 |
| Address | NEW POST OFFICE PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||