Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04402 | Date 01/07/2023 |
| Token No | SM/22-23/10029 01/07/2023 | Serial | 003 |
| Patient Name | Mrs. LATA DAS | Contact No | 9123625572 |
| Address | 38 PROVASNAGAR SERAMPORE M 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||