Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02439 | Date 12/08/2022 |
| Token No | SM/22-23/2044 16/08/2022 | Serial | 012 |
| Patient Name | Mrs. RUPSA DUTTA | Contact No | 9330280144 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||