Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00861 | Date 04/02/2020 |
| Token No | SM/22-23/19100 27/02/2024 | Serial | 017 |
| Patient Name | Miss SATHI DUTTA | Contact No | 9051969976 |
| Address | 65/7/9 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||