Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09437 | Date 21/06/2023 |
| Token No | SM/24-25/16386 21/05/2024 | Serial | 025 |
| Patient Name | Mrs. UTTAM JANA | Contact No | NOT GIVEN |
| Address | JANNAGAR, TALPUKUR | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||