Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02534 | Date 24/08/2022 |
| Token No | SM/22-23/2240 24/08/2022 | Serial | 012 |
| Patient Name | Mrs. PUJA DOLUI | Contact No | 8276099150 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||