Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02711 | Date 16/09/2022 |
| Token No | SM/22-23/2800 16/09/2022 | Serial | 019 |
| Patient Name | Mrs. LAXMI DEY | Contact No | 9007824945 |
| Address | 65/15 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||