Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00725 | Date 11/01/2020 |
| Token No | SM/22-23/6411 31/01/2023 | Serial | 022 |
| Patient Name | Mrs. SABITARANI DATTA | Contact No | 9051969976 |
| Address | 65/7/9 GURU GARDEN ROAD PROVASNAGER SERAMPORE | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||