Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04573 | Date 24/07/2023 |
| Token No | SM/22-23/10834 24/07/2023 | Serial | 002 |
| Patient Name | Mrs. MINA GHATAK | Contact No | 7449506618 |
| Address | 65/16 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||