Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01857 | Date 09/06/2022 |
| Token No | SM/22-23/18609 15/02/2024 | Serial | 001 |
| Patient Name | Mrs. JAGNI DEVI | Contact No | 8017567762 |
| Address | B B GHOSH ROAD MINIUS QUARTER SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||