Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02947 | Date 20/10/2022 |
| Token No | SM/22-23/3650 20/10/2022 | Serial | 016 |
| Patient Name | Mrs. BAISHAKHI DAS | Contact No | 9123635874 |
| Address | M J ROAD SERAMPORE M 712249 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||