Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03915 | Date 11/03/2023 |
| Token No | SM/22-23/7467 11/03/2023 | Serial | 029 |
| Patient Name | Mrs. KAMALA ROY | Contact No | 9804212283 |
| Address | 38 NEW MAHESH SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||