Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04894 | Date 21/08/2023 |
| Token No | SM/22-23/12101 21/08/2023 | Serial | 037 |
| Patient Name | Mrs. PAPIYA SARKAR | Contact No | 8697857664 |
| Address | 65/7/5 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||