Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01211 | Date 17/03/2020 |
| Token No | SM/22-23/2034 16/08/2022 | Serial | 002 |
| Patient Name | Mrs. SHUKLA SHARMA | Contact No | 9748867480 |
| Address | 34B/12 B B GHOSH ROAD SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||