Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02708 | Date 15/09/2022 |
| Token No | SM/22-23/2774 15/09/2022 | Serial | 020 |
| Patient Name | Mrs. RITA SHAW | Contact No | 9681168624 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||