Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02633 | Date 05/09/2022 |
| Token No | SM/22-23/16261 08/12/2023 | Serial | 030 |
| Patient Name | Mrs. SASHI SAMIK | Contact No | |
| Address | MINIUS QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||