Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04242 | Date 29/05/2023 |
| Token No | SM/22-23/12526 31/08/2023 | Serial | 012 |
| Patient Name | Mrs. ARATI DAS | Contact No | 6289787699 |
| Address | 65/20/13 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||