Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02733 | Date 20/09/2022 |
| Token No | SM/22-23/8429 27/04/2023 | Serial | 002 |
| Patient Name | Mrs. SABITARANI DUTTA | Contact No | 9051969976 |
| Address | 65/7/9 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||