Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02927 | Date 17/10/2022 |
| Token No | SM/22-23/12177 22/08/2023 | Serial | 045 |
| Patient Name | Mrs. UMA BAISHNAB | Contact No | 7044691720 |
| Address | 26/F/2 PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||