Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03868 | Date 03/03/2023 |
| Token No | SM/22-23/17083 30/12/2023 | Serial | 035 |
| Patient Name | Mrs. MITHU MUKHERJEE | Contact No | 7890046415 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||