Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02318 | Date 27/07/2022 |
| Token No | SM/22-23/1613 27/07/2022 | Serial | 021 |
| Patient Name | Mrs. SRABANI DEY GHOSH | Contact No | 9674041379 |
| Address | 10/A/4 PRABASHNAGAR SERAMPORE 712249 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||