Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02022 | Date 23/06/2022 |
| Token No | SM/22-23/3982 02/11/2022 | Serial | 033 |
| Patient Name | Mrs. KEYA DAS | Contact No | 7278571306 |
| Address | 125/A DINEN BHATTACHARYA SARANI SERAMPORE HOOGHLY 712249 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||