Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02556 | Date 25/08/2022 |
| Token No | SM/22-23/18691 17/02/2024 | Serial | 014 |
| Patient Name | Mrs. SHOVA DEB | Contact No | 9007468350 |
| Address | 65/22/9 PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||