Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04789 | Date 10/08/2023 |
| Token No | SM/24-25/29512 17/10/2024 | Serial | 001 |
| Patient Name | Mrs. SANDHYA KANDAL | Contact No | 6290616853 |
| Address | 2054 HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||