Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06112 | Date 29/01/2024 |
| Token No | SM/22-23/17856 29/01/2024 | Serial | 020 |
| Patient Name | Mrs. SOBHA DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||