Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08225 | Date 18/11/2024 |
| Token No | SM/24-25/31343 18/11/2024 | Serial | 070 |
| Patient Name | Mrs. PIYALI DAS | Contact No | 6290240847 |
| Address | 3/J DECRUZE GARDEN LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||