Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02964 | Date 21/10/2022 |
| Token No | SM/22-23/15800 24/11/2023 | Serial | 037 |
| Patient Name | Mrs. PUJA MALLICK | Contact No | 7003553412 |
| Address | 9 NO B B GHOSH ROAD SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||