Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01738 | Date 30/05/2022 |
| Token No | SM/22-23/208 30/05/2022 | Serial | 006 |
| Patient Name | Mrs. CHANDRA NAYEK | Contact No | |
| Address | MINIUS QUARTER SERAMPORE 712203 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||