Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 02520 | Date 22/08/2022 |
| Token No | SM/22-23/2195 22/08/2022 | Serial | 049 |
| Patient Name | Mrs. SUMITA ROY | Contact No | 8961143890 |
| Address | SERAMPORE MAHESH COLONY SERAMPORE M 712202 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||