Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02771 | Date 24/09/2022 |
| Token No | SM/22-23/3002 24/09/2022 | Serial | 011 |
| Patient Name | Mrs. RADHA KUMARI | Contact No | 9681359307 |
| Address | 13/86 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||