Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01728 | Date 27/05/2022 |
| Token No | SM/22-23/1047 04/07/2022 | Serial | 014 |
| Patient Name | Mrs. TUMPA MAITY | Contact No | 7439195947 |
| Address | 97/B/11 PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||