Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03147 | Date 16/11/2022 |
| Token No | SM/22-23/10557 15/07/2023 | Serial | 004 |
| Patient Name | Mrs. SHEFALI SAHA | Contact No | 9432708087 |
| Address | 34/B/57 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||