Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00381 | Date 15/11/2019 |
| Token No | SM/22-23/8320 21/04/2023 | Serial | 004 |
| Patient Name | Mrs. INDRA DEVI GUPTA | Contact No | 8420981281 |
| Address | 97/Y PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||