Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02846 | Date 07/10/2022 |
| Token No | SM/22-23/11014 26/07/2023 | Serial | 058 |
| Patient Name | Mrs. ITU DAS | Contact No | 8100441821 |
| Address | WEST JANNAGAR ROAD CHAKLAPARA SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||