Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02201 | Date 13/07/2022 |
| Token No | SM/22-23/16777 21/12/2023 | Serial | 030 |
| Patient Name | Mrs. SUMITA DEY | Contact No | 8337024705 |
| Address | PROVASNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/75 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||