Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00874 | Date 05/02/2020 |
| Token No | SM/22-23/18914 22/02/2024 | Serial | 016 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 7439613026 |
| Address | 49 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||