Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02077 | Date 28/06/2022 |
| Token No | SM/22-23/1025 30/06/2022 | Serial | 039 |
| Patient Name | Mrs. JYOTSNA DAS | Contact No | 9874943653 |
| Address | 156 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 41 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||