Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02111 | Date 30/06/2022 |
| Token No | SM/22-23/3401 13/10/2022 | Serial | 007 |
| Patient Name | Mrs. SILA PRAMANIK | Contact No | 9163691019 |
| Address | 165/D PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||