Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00920 | Date 10/02/2020 |
| Token No | SM/22-23/16110 02/12/2023 | Serial | 056 |
| Patient Name | Mrs. RUBI DEVI | Contact No | 9681252847 |
| Address | 125 NEW MAHESH SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||