Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01451 | Date 18/04/2020 |
| Token No | SM/22-23/9720 19/06/2023 | Serial | 012 |
| Patient Name | Mrs. MANJU RASUYA | Contact No | 7044017092 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||