Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01510 | Date 29/04/2020 |
| Token No | SM/22-23/16793 21/12/2023 | Serial | 046 |
| Patient Name | Mrs. RINA NATH | Contact No | 9051626059 |
| Address | 73/A/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||