Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03678 | Date 31/01/2023 |
| Token No | SM/22-23/6413 31/01/2023 | Serial | 024 |
| Patient Name | Mrs. ASHA KOSTA | Contact No | |
| Address | 208 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||