Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02876 | Date 13/10/2022 |
| Token No | SM/22-23/3403 13/10/2022 | Serial | 009 |
| Patient Name | Mrs. CHAMPA BHUIYA | Contact No | 9123900323 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||