Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02189 | Date 07/07/2022 |
| Token No | SM/22-23/1220 07/07/2022 | Serial | 042 |
| Patient Name | Mrs. ANINDITA GIRI MIDYA | Contact No | 8597844202 |
| Address | 6 NEW MAHESH SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||