Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00480 | Date 29/11/2019 |
| Token No | SM/22-23/17354 09/01/2024 | Serial | 031 |
| Patient Name | Mrs. MAYA DUTTA | Contact No | |
| Address | SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||