Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01772 | Date 30/05/2022 |
| Token No | SM/22-23/259 30/05/2022 | Serial | 057 |
| Patient Name | Mrs. ARPITA ROY | Contact No | 6291672024 |
| Address | 65/25/55 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||