Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02537 | Date 24/08/2022 |
| Token No | SM/22-23/2245 24/08/2022 | Serial | 017 |
| Patient Name | Mrs. PRIYANKA PAL | Contact No | 8910539927 |
| Address | 65/19 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||