Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01255 | Date 21/03/2020 |
| Token No | SM/22-23/7213 03/03/2023 | Serial | 005 |
| Patient Name | Mrs. REKHA DAS | Contact No | 9330372959 |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||