Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01210 | Date 17/03/2020 |
| Token No | SM/24-25/27312 29/08/2024 | Serial | 004 |
| Patient Name | Mrs. SATHI BHATTACHARJEE | Contact No | 8961127278 |
| Address | 20/I DINEN BHATTACHARJEE SARANI PRABASHNAGAR 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||