Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02157 | Date 06/07/2022 |
| Token No | SM/22-23/1133 06/07/2022 | Serial | 024 |
| Patient Name | Mrs. MINATI PAL | Contact No | 8599991059 |
| Address | 10A/5/1 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||