Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02591 | Date 31/08/2022 |
| Token No | SM/22-23/2384 31/08/2022 | Serial | 019 |
| Patient Name | Mrs. TANDRA GHOSH | Contact No | 8420299348 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||