Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00622 | Date 28/12/2019 |
| Token No | SM/22-23/19612 09/03/2024 | Serial | 003 |
| Patient Name | Mrs. PARBATI NAYEK | Contact No | 9875440251 |
| Address | BLOCK A B B GHOSH ROAD SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||