Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02012 | Date 23/06/2022 |
| Token No | SM/22-23/7902 30/03/2023 | Serial | 017 |
| Patient Name | Mrs. ANITA RUDRA | Contact No | 9163503240 |
| Address | 266 NEW MAHESH SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||