Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06767 | Date 13/05/2024 |
| Token No | SM/24-25/30248 28/10/2024 | Serial | 067 |
| Patient Name | Mrs. TOPASI GHARUI | Contact No | 9874806944 |
| Address | 38/C B B GHOSH ROAD SERAMPORE M 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||