Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03455 | Date 20/12/2022 |
| Token No | SM/24-25/25949 03/08/2024 | Serial | 001 |
| Patient Name | Mrs. CHANDANA DAS | Contact No | 7683094106 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||