Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04481 | Date 11/07/2023 |
| Token No | SM/22-23/10404 11/07/2023 | Serial | 017 |
| Patient Name | Mrs. SINKU CHOWDHURY | Contact No | 8100151241 |
| Address | 164 NEW MAHESH SERAMPORE M 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||