Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03945 | Date 16/03/2023 |
| Token No | SM/22-23/7587 16/03/2023 | Serial | 012 |
| Patient Name | Mrs. PURNIMA KARMAKAR | Contact No | 8017750024 |
| Address | 26/C PRABASHNAGAR SERAMPORE 712203 | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||