Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01721 | Date 27/05/2022 |
| Token No | SM/22-23/1869 06/08/2022 | Serial | 004 |
| Patient Name | Mrs. DOLI DAS | Contact No | 7980700157 |
| Address | 97/R/1 PRABASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||