Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02379 | Date 02/08/2022 |
| Token No | SM/22-23/1797 02/08/2022 | Serial | 013 |
| Patient Name | Mrs. DURGABATI DEBI | Contact No | 9831575136 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||