Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00733 | Date 14/01/2020 |
| Token No | SM/22-23/1937 10/08/2022 | Serial | 035 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 7890271379 |
| Address | M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||