Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01364 | Date 06/04/2020 |
| Token No | SM/22-23/17649 19/01/2024 | Serial | 037 |
| Patient Name | Mrs. GITA RABIDAS | Contact No | 7603083992 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||