Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01396 | Date 13/04/2020 |
| Token No | SM/22-23/1331 15/07/2022 | Serial | 001 |
| Patient Name | Mrs. KRISHNA DUTTA | Contact No | 9073542256 |
| Address | 43/29 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||