Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02322 | Date 27/07/2022 |
| Token No | SM/22-23/7115 28/02/2023 | Serial | 038 |
| Patient Name | Mrs. RANU DAS | Contact No | 9830755261 |
| Address | 37 NEW MAHESH SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||