Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06008 | Date 05/01/2024 |
| Token No | SM/22-23/17226 05/01/2024 | Serial | 020 |
| Patient Name | Mrs. SHANTILATA BISWAS | Contact No | 7439011228 |
| Address | 34/B/52 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 79 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||