Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01699 | Date 27/05/2022 |
| Token No | SM/22-23/1307 14/07/2022 | Serial | 007 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 8478840746 |
| Address | 17 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||