Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04108 | Date 27/04/2023 |
| Token No | SM/22-23/8740 11/05/2023 | Serial | 026 |
| Patient Name | Mrs. KARUNA DAS | Contact No | 8013001733 |
| Address | 65/7/3 GURU GARDEN ROAD CHAKLAPARA SERAMPORE 712249 | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||