Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03010 | Date 31/10/2022 |
| Token No | SM/22-23/3894 31/10/2022 | Serial | 031 |
| Patient Name | Mrs. KAJAL KUMARI MONDAL | Contact No | 9120381456 |
| Address | 234 NEW MAHESH SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||