Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03393 | Date 14/12/2022 |
| Token No | SM/22-23/11507 08/08/2023 | Serial | 028 |
| Patient Name | Mrs. BANYA MAITY | Contact No | 8777697294 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||