Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02183 | Date 07/07/2022 |
| Token No | SM/22-23/1203 07/07/2022 | Serial | 025 |
| Patient Name | Mrs. RAMESWARI DAS | Contact No | |
| Address | 140 NEW MAHESH SERAMPORE 712203 | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||