Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02329 | Date 27/07/2022 |
| Token No | SM/22-23/1642 27/07/2022 | Serial | 050 |
| Patient Name | Mrs. RINA CHOWDHURY | Contact No | 9748513823 |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 38 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||