Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02112 | Date 30/06/2022 |
| Token No | SM/22-23/1029 30/06/2022 | Serial | 043 |
| Patient Name | Mrs. SHANTI BHUIYA | Contact No | |
| Address | B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||