Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01729 | Date 27/05/2022 |
| Token No | SM/22-23/191 27/05/2022 | Serial | 052 |
| Patient Name | Mrs. SIPRA SAHA | Contact No | 6290005409 |
| Address | 24A/2/B PRABASHNAGAR SERAMPORE 712249 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||