Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05228 | Date 25/09/2023 |
| Token No | SM/24-25/26729 17/08/2024 | Serial | 004 |
| Patient Name | Mrs. DULARI BHUIYA | Contact No | 6289816414 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | .45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||