Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01980 | Date 21/06/2022 |
| Token No | SM/22-23/4026 03/11/2022 | Serial | 040 |
| Patient Name | Mrs. UMA DAS | Contact No | 9432739808 |
| Address | 22 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 80 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||