Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02862 | Date 11/10/2022 |
| Token No | SM/22-23/3335 11/10/2022 | Serial | 004 |
| Patient Name | Mrs. CHAMPA GHOSH | Contact No | |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712249 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||