Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04811 | Date 12/08/2023 |
| Token No | SM/22-23/16609 18/12/2023 | Serial | 002 |
| Patient Name | Mrs. TITHI SARKAR | Contact No | 9903354083 |
| Address | 65/20/9/1 PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||