Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01696 | Date 27/05/2022 |
| Token No | SM/22-23/3915 01/11/2022 | Serial | 012 |
| Patient Name | Mrs. SAVANI DEBI | Contact No | 7481879176 |
| Address | 182 NEW MAHESH SERAMPORE 712203 | Age | 58 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||