Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07791 | Date 02/09/2024 |
| Token No | SM/24-25/32676 12/12/2024 | Serial | 014 |
| Patient Name | Mrs. BHARATI BHUIYA | Contact No | 6291596743 |
| Address | MUNICIPAL QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||