Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01970 | Date 21/06/2022 |
| Token No | SM/22-23/11018 27/07/2023 | Serial | 002 |
| Patient Name | Mrs. SABITA RAKSHIT | Contact No | 7278473155 |
| Address | 43/16/D GURU GARDEN ROAD SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||