Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03532 | Date 29/12/2022 |
| Token No | SM/22-23/14234 11/10/2023 | Serial | 006 |
| Patient Name | Mrs. MANDIRA MONDAL | Contact No | 8697351645 |
| Address | 38/F B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||