Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04328 | Date 15/06/2023 |
| Token No | SM/22-23/11216 01/08/2023 | Serial | 057 |
| Patient Name | Mrs. BABY DAS | Contact No | 7449644266 |
| Address | 75 NEW MAHESH SERAMPORE M 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||