Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02586 | Date 31/08/2022 |
| Token No | SM/22-23/2376 31/08/2022 | Serial | 011 |
| Patient Name | Mrs. DIPIKA AICH BISWAS | Contact No | 6290922410 |
| Address | 65/7/2 PRABASHNAGAR SERAMPORE 712249 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||