Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01591 | Date 20/05/2022 |
| Token No | SM/22-23/17032 29/12/2023 | Serial | 020 |
| Patient Name | Mrs. LALITA DAS. | Contact No | 8697460163 |
| Address | 65/25/19/D PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||