Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02452 | Date 12/08/2022 |
| Token No | SM/22-23/3581 18/10/2022 | Serial | 011 |
| Patient Name | Mrs. ASTAMI DAS | Contact No | 9123980219 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||