Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00981 | Date 17/02/2020 |
| Token No | SM/22-23/6465 01/02/2023 | Serial | 032 |
| Patient Name | Mrs. SUPARNA DAS | Contact No | 7044171560 |
| Address | 8A/2/10 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||