Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00900 | Date 07/02/2020 |
| Token No | SM/22-23/12117 21/08/2023 | Serial | 053 |
| Patient Name | Mrs. MINA THAKUR | Contact No | 6289019113 |
| Address | 21 NEW MAHESH SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||