Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01611 | Date 20/05/2022 |
| Token No | SM/22-23/29 20/05/2022 | Serial | 027 |
| Patient Name | Mrs. SARASWATI DEBNATH | Contact No | 9903638738 |
| Address | 43/16/B D N SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||