Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04137 | Date 04/05/2023 |
| Token No | SM/24-25/34473 21/01/2025 | Serial | 047 |
| Patient Name | Mrs. SUNITA MAHATO | Contact No | 9051105961 |
| Address | 10A DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||