Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01356 | Date 04/04/2020 |
| Token No | SM/22-23/133 25/05/2022 | Serial | 045 |
| Patient Name | Mrs. CHANDI GUPTA | Contact No | |
| Address | SERAMPORE | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||