Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02158 | Date 06/07/2022 |
| Token No | SM/22-23/3633 19/10/2022 | Serial | 027 |
| Patient Name | Mrs. RUPA SAHA | Contact No | 8100056320 |
| Address | 34/B/57 B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||