Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02879 | Date 13/10/2022 |
| Token No | SM/22-23/3406 13/10/2022 | Serial | 012 |
| Patient Name | Mrs. DURGAVATI DEVI | Contact No | 9065824868 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||