Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05742 | Date 25/11/2023 |
| Token No | SM/22-23/15848 25/11/2023 | Serial | 042 |
| Patient Name | Mrs. PUSPA SHAW | Contact No | |
| Address | 207 NEW MAHESH SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||