Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02595 | Date 01/09/2022 |
| Token No | SM/22-23/10680 19/07/2023 | Serial | 017 |
| Patient Name | Mrs. PUJA DAS | Contact No | 8910502625 |
| Address | 75 NEW MAHESH SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||