Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00963 | Date 15/02/2020 |
| Token No | SM/22-23/16572 16/12/2023 | Serial | 005 |
| Patient Name | Mrs. JAYANTI DAS | Contact No | 9231681988 |
| Address | 30/34 TARAPUKUR LANE SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||