Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01851 | Date 08/06/2022 |
| Token No | SM/22-23/8952 18/05/2023 | Serial | 037 |
| Patient Name | Mrs. ANJANA DAS | Contact No | 9051391627 |
| Address | 38 PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||