Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08272 | Date 23/11/2024 |
| Token No | SM/24-25/31689 23/11/2024 | Serial | 055 |
| Patient Name | Mrs. PIYALI BOSU | Contact No | 9007779802 |
| Address | 65/7/7/A PRABASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||