Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06331 | Date 22/02/2024 |
| Token No | SM/22-23/18917 22/02/2024 | Serial | 019 |
| Patient Name | Mrs. TAPATI DAS | Contact No | 7890582343 |
| Address | 55/A/12 WEST JANNAGAR ROAD PRAVASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||