Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01592 | Date 20/05/2022 |
| Token No | SM/22-23/4 20/05/2022 | Serial | 002 |
| Patient Name | Mrs. PUSHPA BAG | Contact No | 8910490470 |
| Address | 43/46 PRABASHNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||