Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02566 | Date 26/08/2022 |
| Token No | SM/22-23/2322 26/08/2022 | Serial | 017 |
| Patient Name | Mrs. BHAGABATI DEBI | Contact No | 6290976766 |
| Address | 66/B GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||