Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02833 | Date 30/09/2022 |
| Token No | SM/22-23/3217 30/09/2022 | Serial | 034 |
| Patient Name | Mrs. RANJU DEVI | Contact No | 8622806811 |
| Address | 72/A/5 PRABASHNAGAR SERAMPORE 712249 | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||