Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02717 | Date 19/09/2022 |
| Token No | SM/22-23/2822 19/09/2022 | Serial | 008 |
| Patient Name | Mrs. PALLABI ROY | Contact No | 7980447877 |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||