Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04972 | Date 28/08/2023 |
| Token No | SM/22-23/12402 28/08/2023 | Serial | 004 |
| Patient Name | Mrs. KALPANA PAL | Contact No | 8697610525 |
| Address | 65/19 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||