Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00804 | Date 25/01/2020 |
| Token No | SM/22-23/18764 19/02/2024 | Serial | 042 |
| Patient Name | Miss DISHA SHAW | Contact No | 8334073896 |
| Address | 65/25/9 MAHESH JAAN NAGAR ROAD SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||