Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03360 | Date 09/12/2022 |
| Token No | SM/22-23/15353 09/11/2023 | Serial | 012 |
| Patient Name | Mrs. RADHA RANI DEY | Contact No | 9163561231 |
| Address | 26 NEW MAHESH SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||