Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02946 | Date 20/10/2022 |
| Token No | SM/24-25/21534 04/05/2024 | Serial | 013 |
| Patient Name | Mrs. MINA DAS | Contact No | 6289469455 |
| Address | SOCIETY MATH B B GHOSH SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||