Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01724 | Date 27/05/2022 |
| Token No | SM/22-23/186 27/05/2022 | Serial | 047 |
| Patient Name | Mrs. BEAUTY PAL | Contact No | 8250308687 |
| Address | 152/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 44 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||