Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02118 | Date 04/07/2022 |
| Token No | SM/22-23/1040 04/07/2022 | Serial | 007 |
| Patient Name | Mrs. SIMA GHOSHAL | Contact No | 9674261143 |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||