Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02441 | Date 12/08/2022 |
| Token No | SM/22-23/2029 13/08/2022 | Serial | 006 |
| Patient Name | Mrs. SUDAMA DEBI | Contact No | 9163177892 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||