Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01053 | Date 24/02/2020 |
| Token No | SM/22-23/13156 16/09/2023 | Serial | 006 |
| Patient Name | Mrs. SWAPNA DOLUI | Contact No | 9163588299 |
| Address | 38/A B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||