Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02807 | Date 28/09/2022 |
| Token No | SM/22-23/6421 31/01/2023 | Serial | 032 |
| Patient Name | Mrs. SUSMITA MUKHOPADHYAY | Contact No | 7980087594 |
| Address | 13/9 B B GHOSH ROAD SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||