Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00717 | Date 10/01/2020 |
| Token No | SM/22-23/10701 19/07/2023 | Serial | 038 |
| Patient Name | Mrs. BELA DAS | Contact No | 9051754536 |
| Address | B B GHOSH ROAD SOCIETY MATH SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||