Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00405 | Date 19/11/2019 |
| Token No | SM/22-23/11228 02/08/2023 | Serial | 011 |
| Patient Name | Mrs. GITA SHAW | Contact No | 9062932108 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||