Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01747 | Date 30/05/2022 |
| Token No | SM/22-23/340 03/06/2022 | Serial | 009 |
| Patient Name | Mrs. PUJA GHARAI | Contact No | 7595053742 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||