Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02913 | Date 17/10/2022 |
| Token No | SM/22-23/17486 16/01/2024 | Serial | 008 |
| Patient Name | Mrs. DIPTI DEY | Contact No | 6291583047 |
| Address | 9/431 PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||