Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00931 | Date 12/02/2020 |
| Token No | SM/22-23/7660 18/03/2023 | Serial | 013 |
| Patient Name | Mrs. INDU DEVI | Contact No | 9137382725 |
| Address | 95 NEW MAHESH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||