Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00009 | Date 06/09/2019 |
| Token No | SM/22-23/19090 27/02/2024 | Serial | 007 |
| Patient Name | Mrs. TINKA DAS | Contact No | 8335825429 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||