Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03272 | Date 28/11/2022 |
| Token No | SM/24-25/32909 18/12/2024 | Serial | 010 |
| Patient Name | Mrs. SANTOSHI SHAW | Contact No | 8777256374 |
| Address | 65/19/6 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||