Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01722 | Date 27/05/2022 |
| Token No | SM/22-23/183 27/05/2022 | Serial | 044 |
| Patient Name | Mrs. SUSAMA RAJBHAR | Contact No | 7980072723 |
| Address | 117 NEW MAHESH SERAMPORE 712203 | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||