Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01557 | Date 04/05/2020 |
| Token No | SM/22-23/388 08/06/2022 | Serial | 002 |
| Patient Name | Mrs. SANDHYA SARKAR | Contact No | 6290419774 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 67 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||