Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02338 | Date 28/07/2022 |
| Token No | SM/22-23/1671 28/07/2022 | Serial | 023 |
| Patient Name | Mrs. LALITA BHAGAT | Contact No | 7044167457 |
| Address | 64 JANNAGAR ROAD SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||